{"id":35279,"date":"2015-12-01T10:09:13","date_gmt":"2015-12-01T09:09:13","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35279"},"modified":"2015-12-01T10:09:19","modified_gmt":"2015-12-01T09:09:19","slug":"reparacion-tricuspide-cone-ebstein","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/reparacion-tricuspide-cone-ebstein\/","title":{"rendered":"Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein<\/strong><\/h1>\n<p style=\"text-align: justify;\">Gonz\u00e1lez L\u00f3pez, Mar\u00eda Teresa (1); Gil Jaurena, Juan Miguel (1); Pita Fern\u00e1ndez, Ana Mar\u00eda (1); P\u00e9rez-Caballero Mart\u00ednez, Ram\u00f3n (1); \u00c1lvarez Mart\u00edn, Teresa (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Gregorio Mara\u00f1\u00f3n (1)<\/p>\n<p style=\"text-align: justify;\">INTRODUCCI\u00d3N. La anomal\u00eda de Ebstein es una entidad infrecuente (&lt;1% del total cardiopat\u00edas cong\u00e9nitas): desplazamiento apical y anclaje an\u00f3malo de v\u00e1lvula tric\u00faspide (VT) y \u201catrializaci\u00f3n\u201d del ventr\u00edculo derecho (VD), quedando funcionalmente reducido. La reparaci\u00f3n valvular en este contexto es compleja. Presentamos la t\u00e9cnica de Cone (J.P da Silva, Sao Paulo, Brasil\u2019 1993).<\/p>\n<p style=\"text-align: justify;\">PACIENTES\/T\u00c9CNICA. Dos pacientes (edad media 15+\/-2 a\u00f1os, rango 13-17). Ebstein + IT severa.<\/p>\n<p style=\"text-align: justify;\">1) Desinserci\u00f3n\/movilizaci\u00f3n de velos anterior y posterior de VT del anclaje an\u00f3malo en VD.<\/p>\n<p style=\"text-align: justify;\">2) Delaminaci\u00f3n (remodelaci\u00f3n del aparato subvalvular).<\/p>\n<p style=\"text-align: justify;\">3) Rotaci\u00f3n horaria del borde libre (para conseguir anclaje del velo posterior al borde septal del velo anterior).<\/p>\n<p style=\"text-align: justify;\">4) Plicatura longitudinal del ventr\u00edculo derecho atrializado.<\/p>\n<p style=\"text-align: justify;\">5) Bicuspidizaci\u00f3n y reinserci\u00f3n al anillo verdadero (tras la rotaci\u00f3n). El velo septal (casi inexistente) es incorporado a la sutura del velo posterior. Se crea as\u00ed un \u201ccono\u201d cuyo v\u00e9rtice permanece fijado al VD y su base es suturada al anillo tric\u00faspide verdadero.<\/p>\n<p style=\"text-align: justify;\">6) Se mantiene CIA abierta.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS. Tiempo medio CEC 140+\/-15 min (clampaje 92+\/-10). No complicaciones post-operatorias, ritmo sinusal. Seguimiento medio (12.5+\/-9 meses):<\/p>\n<ol style=\"text-align: justify;\">\n<li>Ecocardiograf\u00eda: buena funci\u00f3n ventr\u00edculo derecho, anillo VT 22+\/-4 mm, IT leve.<\/li>\n<li>\u00d3ptima clase funcional.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">CONCLUSI\u00d3N. La reparaci\u00f3n tricusp\u00eddea seg\u00fan t\u00e9cnica de Cone en este contexto ofrece \u00f3ptimos resultados cl\u00ednico\/ecocardiogr\u00e1ficos, mejorando la morfolog\u00eda del ventr\u00edculo derecho y funcionalidad de la v\u00e1lvula tric\u00faspide.<\/p>\n<p style=\"text-align: justify;\">COMUNICACIONES V\u00cdDEO. V\u00cdDEO &#8211; 5<\/p>\n<p style=\"text-align: justify;\">XIII CONGRESO DE LA SOCIEDAD ANDALUZA DE CIRUG\u00cdA CARDIOVASCULAR (SACCV). Granada, 24, 25 y 26 de Septiembre de 2015<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein Gonz\u00e1lez L\u00f3pez, Mar\u00eda Teresa (1); Gil Jaurena, Juan Miguel (1); Pita Fern\u00e1ndez, Ana Mar\u00eda (1); P\u00e9rez-Caballero Mart\u00ednez, Ram\u00f3n (1); \u00c1lvarez Mart\u00edn, Teresa (1) Hospital Gregorio Mara\u00f1\u00f3n (1) INTRODUCCI\u00d3N. La anomal\u00eda de Ebstein es una entidad infrecuente (&lt;1% del total cardiopat\u00edas cong\u00e9nitas): desplazamiento apical y &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/reparacion-tricuspide-cone-ebstein\/#more-35279\" aria-label=\"Leer m\u00e1s sobre Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[46],"tags":[],"class_list":["post-35279","post","type-post","status-publish","format-standard","hentry","category-cirugia-cardiovascular","no-featured-image-padding"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein<\/title>\n<meta name=\"description\" content=\"Reparaci\u00f3n tric\u00faspide seg\u00fan t\u00e9cnica de Cone en la anomal\u00eda de Ebstein Gonz\u00e1lez L\u00f3pez, Mar\u00eda Teresa (1); 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