{"id":35390,"date":"2015-12-01T18:10:25","date_gmt":"2015-12-01T17:10:25","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35390"},"modified":"2015-12-01T18:10:28","modified_gmt":"2015-12-01T17:10:28","slug":"cardiopatia-carcinoide","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cardiopatia-carcinoide\/","title":{"rendered":"Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n.<\/strong><\/h1>\n<p style=\"text-align: justify;\">Hospital Universitario \u00abVirgen del Roc\u00edo\u00bb (1)<\/p>\n<p style=\"text-align: justify;\">Juvin Bouvier, Charles Eric (1); Rodr\u00edguez Mora, Felipe (1); Laviana Mart\u00ednez, Fernando (1); Rojas Berm\u00fadez, Camilo Augusto (1); Gonz\u00e1lez Calle, Antonio (1); Adsuar G\u00f3mez, Alejandro (1); Hosseinpour, Amir-Reza (1); Guti\u00e9rrez Carretero, Encarnaci\u00f3n (1); Hern\u00e1ndez Fern\u00e1ndez, Ana (1); Montes C\u00f3zar, Ram\u00f3n (1); Borrego Dom\u00ednguez, Jos\u00e9 Miguel (1)<\/p>\n<p style=\"text-align: justify;\">FUNDAMENTO: La cardiopat\u00eda carcinoide (CC) es una enfermedad infrecuente principalmente de las v\u00e1lvulas derechas producida por secreci\u00f3n de sustancias vasoactivas por un tumor carcinoide. Presentamos cuatro casos con manejos diferentes para tratar de demostrar la importancia de la individualizaci\u00f3n en patolog\u00edas de manejo complicado y multidisciplinar.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODOS: Mujer de 73 a\u00f1os pluripatol\u00f3gica con cardiopat\u00eda carcinoide e insuficiencia mitral (IM) y pulmonar (IP) leves y estenosis pulmonar severa. Se realiz\u00f3 valvuloplastia pulmonar con bal\u00f3n.<\/p>\n<p style=\"text-align: justify;\">Var\u00f3n de 52 a\u00f1os con pocos factores de riesgo con cardiopat\u00eda carcinoide e insuficiencia tric\u00faspide (IT) masiva e insuficiencia pulmonar (IP) ligera. Se opt\u00f3 por sustituci\u00f3n valvular tric\u00faspide por pr\u00f3tesis biol\u00f3gica.<\/p>\n<p style=\"text-align: justify;\">Mujer de 59 a\u00f1os sin comorbilidades relevantes con cardiopat\u00eda carcinoide e insuficiencia tric\u00faspide (IT) severa e insuficiencia pulmonar (IP) moderada. Se someti\u00f3 a una doble sustituci\u00f3n valvular por pr\u00f3tesis biol\u00f3gicas.<\/p>\n<p style=\"text-align: justify;\">Mujer de 79 a\u00f1os asintom\u00e1tica con cardiopat\u00eda carcinoide e insuficiencia tric\u00faspide (IT) severa. Se decidi\u00f3 control sintom\u00e1tico.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: 75% asintom\u00e1ticos tras terapia decidida. Supervivencia precoz del 100% y tard\u00eda del 75%. Afectaci\u00f3n valvular residual en 100% de los casos. Disfunci\u00f3n prot\u00e9sica en 50% de los operados.<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: Actualmente la \u00fanica terapia curativa de la cardiopat\u00eda carcinoide es la cirug\u00eda, realiz\u00e1ndose cada vez m\u00e1s precozmente. Parece razonable que la individualizaci\u00f3n de cada caso, especialmente en los m\u00e1s avanzados, sigue siendo importante.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 46<\/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>Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n. Hospital Universitario \u00abVirgen del Roc\u00edo\u00bb (1) Juvin Bouvier, Charles Eric (1); Rodr\u00edguez Mora, Felipe (1); Laviana Mart\u00ednez, Fernando (1); Rojas Berm\u00fadez, Camilo Augusto (1); Gonz\u00e1lez Calle, Antonio (1); Adsuar G\u00f3mez, Alejandro (1); Hosseinpour, Amir-Reza (1); Guti\u00e9rrez Carretero, Encarnaci\u00f3n (1); Hern\u00e1ndez Fern\u00e1ndez, Ana (1); Montes &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cardiopatia-carcinoide\/#more-35390\" aria-label=\"Leer m\u00e1s sobre Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n\">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-35390","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>Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n<\/title>\n<meta name=\"description\" content=\"Diferentes manejos de la cardiopat\u00eda carcinoide: la importancia de la individualizaci\u00f3n. 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