{"id":35309,"date":"2015-12-01T11:02:33","date_gmt":"2015-12-01T10:02:33","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35309"},"modified":"2015-12-01T11:02:34","modified_gmt":"2015-12-01T10:02:34","slug":"aortitis-debranching-aortico","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aortitis-debranching-aortico\/","title":{"rendered":"Tratamiento quir\u00fargico de una aortitis. Debranching a\u00f3rtico"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Tratamiento quir\u00fargico de una aortitis. Debranching a\u00f3rtico<\/strong><\/h1>\n<p style=\"text-align: justify;\">Garc\u00eda Bouza, M\u00f3nica (1); Ramchandani Ramchandani, Bunty (1); P\u00e9rez Camargo, Daniel (1); Ayaon Albarr\u00e1n, Ali (1); Carnero Alc\u00e1zar, Manuel (1); Maroto Castellanos, Luis Carlos (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Cl\u00ednico San Carlos de Madrid (1)<\/p>\n<p style=\"text-align: justify;\">FUNDAMENTO: Mujer de 78 a\u00f1os que acude por disnea. La radiograf\u00eda de t\u00f3rax muestra un ensanchamiento mediast\u00ednico con desplazamiento de la tr\u00e1quea.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODO: Se realiz\u00f3 TC de cr\u00e1neo-cuello-t\u00f3rax que objetiv\u00f3 dos aneurismas saculares a\u00f3rticos (25 y 18 mm de cuello, 23 y 26 mm de cuello respectivamente) afectando arco a\u00f3rtico y troncos supraa\u00f3rticos (TSA) con comprensi\u00f3n de la tr\u00e1quea.<\/p>\n<p style=\"text-align: justify;\">Se realiz\u00f3 PET-TC que evidenci\u00f3 engrosamiento luminal del cayado a\u00f3rtico distal (1 cm) y captaci\u00f3n difusa de FDG alrededor (SUVmax 12,4) sugestivo de aortitis. Se decidi\u00f3 tratamiento quir\u00fargico mediante esternotom\u00eda media, parada cardiaca en hipotermia profunda y canulaci\u00f3n arterial simult\u00e1nea por v\u00eda femoral y axilar.<\/p>\n<p style=\"text-align: justify;\">Se realiz\u00f3 sustituci\u00f3n completa del cayado a\u00f3rtico con exclusi\u00f3n del aneurisma distal y resecci\u00f3n del proximal y sustituci\u00f3n de los troncos supraa\u00f3rticos (TSA) mediante un injerto trifurcado seg\u00fan la t\u00e9cnica de Mount Sina\u00ed.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: La cirug\u00eda transcurri\u00f3 sin incidencias. Actualmente la paciente se encuentra en clase funcional I-II de la NYHA.<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: El debranching a\u00f3rtico con el uso de un injerto trifurcado permite la resecci\u00f3n de gran cantidad de tejido afectado como alternativa a otros procedimientos convencionales. Se trata de un m\u00e9todo seguro y eficaz ya que permite reducir los tiempos de isquemia y circulaci\u00f3n extracorp\u00f3rea.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 11<\/strong><\/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>Tratamiento quir\u00fargico de una aortitis. Debranching a\u00f3rtico Garc\u00eda Bouza, M\u00f3nica (1); Ramchandani Ramchandani, Bunty (1); P\u00e9rez Camargo, Daniel (1); Ayaon Albarr\u00e1n, Ali (1); Carnero Alc\u00e1zar, Manuel (1); Maroto Castellanos, Luis Carlos (1) Hospital Cl\u00ednico San Carlos de Madrid (1) FUNDAMENTO: Mujer de 78 a\u00f1os que acude por disnea. La radiograf\u00eda de t\u00f3rax muestra un ensanchamiento &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Tratamiento quir\u00fargico de una aortitis. Debranching a\u00f3rtico\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aortitis-debranching-aortico\/#more-35309\" aria-label=\"Leer m\u00e1s sobre Tratamiento quir\u00fargico de una aortitis. Debranching a\u00f3rtico\">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-35309","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>Tratamiento quir\u00fargico de una aortitis. Debranching a\u00f3rtico<\/title>\n<meta name=\"description\" content=\"Tratamiento quir\u00fargico de una aortitis. 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