{"id":35394,"date":"2015-12-01T18:14:15","date_gmt":"2015-12-01T17:14:15","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35394"},"modified":"2015-12-01T18:14:17","modified_gmt":"2015-12-01T17:14:17","slug":"cirugia-hibrida-de-arco-aortico","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cirugia-hibrida-de-arco-aortico\/","title":{"rendered":"Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica<\/strong><\/h1>\n<p style=\"text-align: justify;\">Taboada Mart\u00edn, Rub\u00e9n (1); Ray L\u00f3pez, V\u00edctor Glenn (1); Arribas Leal, Jos\u00e9 Mar\u00eda (1); Gonz\u00e1lez Ar\u00e9valo, Adriana (1); Lorenzo D\u00edaz, Maydeline (1); Garc\u00eda Puente del Corral, Julio (1); Guti\u00e9rrez Garc\u00eda, Francisco (1); C\u00e1novas L\u00f3pez, Sergio Juan (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Cl\u00ednico Universitario Virgen de la Arrixaca (1)<\/p>\n<p style=\"text-align: justify;\">FUNDAMENTO: la patolog\u00eda del arco a\u00f3rtico es una entidad rara que puede provocar desde fen\u00f3menos compresivos o de embolizaci\u00f3n arterial perif\u00e9rica, sin que exista consenso claro en las gu\u00edas cl\u00ednicas para definir la mejor estrategia de manejo para este problema tan inusual. Mostramos nuestra experiencia en cirug\u00eda m\u00ednimamente invasiva en dicha patolog\u00eda.<\/p>\n<p style=\"text-align: justify;\">MATERIAL Y M\u00c9TODOS: 4 pacientes se han intervenido en nuestro centro por t\u00e9cnica endovascular de patolog\u00eda de aorta tor\u00e1cica: 1 paciente por disecci\u00f3n tipo B con dilataci\u00f3n a\u00f3rtica de 45mm, 2 por aneurisma de cayado a\u00f3rtico y 1 paciente por trombosis de arco a\u00f3rtico.<\/p>\n<p style=\"text-align: justify;\">Realizamos transposici\u00f3n de troncos supra-a\u00f3rticos mediante by pass desde la aorta ascendente para poder anclar la endopr\u00f3tesis sobre aorta sana (zonas 0 o 1), sin circulaci\u00f3n extracorp\u00f3rea y con clampaje lateral.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: El \u00e9xito t\u00e9cnico inicial del procedimiento fue del 100%, un paciente falleci\u00f3 por infarto cerebral (debut\u00f3 como trombosis de arco). El resto est\u00e1n asintom\u00e1ticos e incorporados a su vida cotidiana<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: el tratamiento m\u00ednimamente invasivo de la patolog\u00eda de arco a\u00f3rtico y aorta descendente est\u00e1 cobrando protagonismo en nuestro medio, aunque se precisan estudios m\u00e1s concluyentes que definan el perfil de pacientes a los que aplicarlo por no estar exento de riesgo<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 48<\/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>Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica Taboada Mart\u00edn, Rub\u00e9n (1); Ray L\u00f3pez, V\u00edctor Glenn (1); Arribas Leal, Jos\u00e9 Mar\u00eda (1); Gonz\u00e1lez Ar\u00e9valo, Adriana (1); Lorenzo D\u00edaz, Maydeline (1); Garc\u00eda Puente del Corral, Julio (1); Guti\u00e9rrez Garc\u00eda, Francisco (1); C\u00e1novas L\u00f3pez, Sergio Juan (1) Hospital Cl\u00ednico Universitario Virgen de la Arrixaca &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/cirugia-hibrida-de-arco-aortico\/#more-35394\" aria-label=\"Leer m\u00e1s sobre Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica\">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-35394","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>Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica<\/title>\n<meta name=\"description\" content=\"Nuestra experiencia en cirug\u00eda h\u00edbrida de arco a\u00f3rtico y aorta tor\u00e1cica Taboada Mart\u00edn, Rub\u00e9n (1); 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