{"id":35346,"date":"2015-12-01T16:03:10","date_gmt":"2015-12-01T15:03:10","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35346"},"modified":"2015-12-01T16:36:18","modified_gmt":"2015-12-01T15:36:18","slug":"fistula-coronaria-gigante-caso-clinico","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/fistula-coronaria-gigante-caso-clinico\/","title":{"rendered":"F\u00edstula coronaria gigante. Caso cl\u00ednico y revisi\u00f3n de la literatura"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>F\u00edstula coronaria gigante. Caso cl\u00ednico y revisi\u00f3n de la literatura. <\/strong><\/h1>\n<p>Rodr\u00edguez Caulo, Emiliano A. (1); S\u00e1nchez, Gemma (1); Matar\u00f3, Mar\u00eda Jos\u00e9 (1); Otero, Juan (1); Porras, Carlos (1); Guz\u00f3n, Arantza (1); Such, Miguel\u00a0 (1); Melero, Jos\u00e9 Mar\u00eda (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Cl\u00ednico Universitario Virgen De La Victoria De M\u00e1laga (1)<\/p>\n<p style=\"text-align: justify;\">FUNDAMENTO: Presentamos el caso cl\u00ednico de un mujer de 39 a\u00f1os, sin ning\u00fan tipo de antecedente personal de inter\u00e9s, en seguimiento por palpitaciones ocasionales, que al realizar una ecocardiograf\u00eda de control se aprecia una malformaci\u00f3n vascular cong\u00e9nita compatible con f\u00edstula coronaria gigante hacia la aur\u00edcula derecha (AD).<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODOS: Se realiza tomograf\u00eda computerizada, resonancia magn\u00e9tica y cateterismo para confirmar diagn\u00f3stico<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: La tomograf\u00eda computerizada, resonancia magn\u00e9tica y el cateterismo confirman la existencia de una f\u00edstula coronaria gigante restrictiva de 20 mm desde el ostium izquierdo hasta la AD, con un QP\/Qs de 2,5, de la que salen todos los vasos coronarios izquierdos permeables.<\/p>\n<p style=\"text-align: justify;\">Se decide tratamiento conservador y se realiza revisi\u00f3n de la literatura para su posible tratamiento futuro<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: Las f\u00edstulas coronarias gigantes presentan un alto porcentaje de trombosis (50%) al cerrarse, por lo que la indicaci\u00f3n de cierre quir\u00fargico versus endovascular hay que individualizarla en funci\u00f3n de la cl\u00ednica y morfolog\u00eda coronaria del paciente dados los riesgos asociados.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 27<\/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>F\u00edstula coronaria gigante. Caso cl\u00ednico y revisi\u00f3n de la literatura. Rodr\u00edguez Caulo, Emiliano A. (1); S\u00e1nchez, Gemma (1); Matar\u00f3, Mar\u00eda Jos\u00e9 (1); Otero, Juan (1); Porras, Carlos (1); Guz\u00f3n, Arantza (1); Such, Miguel\u00a0 (1); Melero, Jos\u00e9 Mar\u00eda (1) Hospital Cl\u00ednico Universitario Virgen De La Victoria De M\u00e1laga (1) FUNDAMENTO: Presentamos el caso cl\u00ednico de un &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"F\u00edstula coronaria gigante. Caso cl\u00ednico y revisi\u00f3n de la literatura\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/fistula-coronaria-gigante-caso-clinico\/#more-35346\" aria-label=\"Leer m\u00e1s sobre F\u00edstula coronaria gigante. Caso cl\u00ednico y revisi\u00f3n de la literatura\">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-35346","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>F\u00edstula coronaria gigante. 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