{"id":35396,"date":"2015-12-01T18:16:42","date_gmt":"2015-12-01T17:16:42","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35396"},"modified":"2015-12-01T18:16:44","modified_gmt":"2015-12-01T17:16:44","slug":"protesis-mecanica-aortica-ats-invertida","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/","title":{"rendered":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite<\/strong><\/h1>\n<p style=\"text-align: justify;\">Varela Barca, Laura (1); Redondo Palacios, Ana (1); L\u00f3pez Men\u00e9ndez, Jos\u00e9 (1); Mart\u00edn Garc\u00eda, Miren (1); Ferreiro Marzal, Andrea (1); Miguelena Hycka, Javier (1); Oliva De Anqu\u00edn, Enrique (1); Mu\u00f1oz P\u00e9rez, Rafael (1); Garc\u00eda Andrade, Ignacio (1); Celem\u00edn Canorea, Daniel (1); Rodr\u00edguez-Roda Stuart, Jorge (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Ram\u00f3n y Cajal (1)<\/p>\n<p style=\"text-align: justify;\">JUSTIFICACI\u00d3N: La sustituci\u00f3n mitral en pacientes con anillo valvular peque\u00f1o supone un reto para el cirujano card\u00edaco, convirtiendo la intervenci\u00f3n en una situaci\u00f3n compleja.<\/p>\n<p style=\"text-align: justify;\">En algunos casos, el implante de pr\u00f3tesis est\u00e1ndar podr\u00eda conllevar un riesgo elevado tanto de rotura de surco auriculoventricular como de disfunci\u00f3n prot\u00e9sica. El empleo de una v\u00e1lvula de tama\u00f1o menor podr\u00eda aceptarse como t\u00e9cnica de rescate en estas situaciones.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODO: An\u00e1lisis retrospectivo del empleo de pr\u00f3tesis a\u00f3rtica ATS n\u00famero 22 invertida en posici\u00f3n mitral entre 2010 y 2015 en nuestro centro.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: Se estudiaron 15 pacientes, con un seguimiento medio de 13,5 meses. El 80% de ellos fueron mujeres, con superficie corporal de 1,6 cm\/m2 y Euroscore log\u00edstico medio 19,13%. El 66% present\u00f3 clase funcional III-IV de la NYHA.<\/p>\n<p style=\"text-align: justify;\">Ocurrieron dos muertes intraoperatorias y una en el postoperatorio inmediato (Mortalidad precoz del 20%). Dos pacientes fallecieron en el seguimiento a largo plazo.<\/p>\n<p style=\"text-align: justify;\">Ecogr\u00e1ficamente se observ\u00f3 solamente un caso de Mismatch mitral, siendo el gradiente transvalvular medio de 5,48 mmHg (rango 3,6-6,6 mmHg)<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: El empleo de pr\u00f3tesis a\u00f3rtica ATS n\u00famero 22 invertida podr\u00eda ser una opci\u00f3n v\u00e1lida en pacientes con anillos mitrales demasiado peque\u00f1os para el implante de pr\u00f3tesis de tama\u00f1o est\u00e1ndar.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 49<\/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>Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite Varela Barca, Laura (1); Redondo Palacios, Ana (1); L\u00f3pez Men\u00e9ndez, Jos\u00e9 (1); Mart\u00edn Garc\u00eda, Miren (1); Ferreiro Marzal, Andrea (1); Miguelena Hycka, Javier (1); Oliva De Anqu\u00edn, Enrique (1); Mu\u00f1oz P\u00e9rez, Rafael (1); Garc\u00eda Andrade, Ignacio (1); Celem\u00edn &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/#more-35396\" aria-label=\"Leer m\u00e1s sobre Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite\">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-35396","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 v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite<\/title>\n<meta name=\"description\" content=\"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite Varela Barca, Laura (1); Redondo\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Redacci\u00f3n Revista\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"ScholarlyArticle\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/\"},\"author\":{\"name\":\"Redacci\u00f3n Revista\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#\\\/schema\\\/person\\\/aff35293bfdd1e8bb11bc1d216ac2c6e\"},\"headline\":\"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite\",\"datePublished\":\"2015-12-01T17:16:42+00:00\",\"dateModified\":\"2015-12-01T17:16:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/\"},\"wordCount\":329,\"publisher\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#organization\"},\"articleSection\":[\"Cirug\u00eda Cardiovascular\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"ItemPage\"],\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/\",\"url\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/\",\"name\":\"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#website\"},\"datePublished\":\"2015-12-01T17:16:42+00:00\",\"dateModified\":\"2015-12-01T17:16:44+00:00\",\"description\":\"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite Varela Barca, Laura (1); Redondo\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/protesis-mecanica-aortica-ats-invertida\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inicio\",\"item\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cirug\u00eda Cardiovascular\",\"item\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/publicaciones\\\/cirugia-cardiovascular\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#website\",\"url\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/\",\"name\":\"Revista Electr\u00f3nica de PortalesMedicos.com\",\"description\":\"ISSN 1886-8924 - Publicaci\u00f3n de art\u00edculos, casos cl\u00ednicos, etc. de Medicina, Enfermer\u00eda y Ciencias de la Salud\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#organization\"},\"alternateName\":\"Revista de PortalesMedicos\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#organization\",\"name\":\"Revista Electr\u00f3nica de Portales Medicos.com\",\"alternateName\":\"Revista de PortalesMedicos\",\"url\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/wp-content\\\/uploads\\\/logorevista_negro.jpg\",\"contentUrl\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/wp-content\\\/uploads\\\/logorevista_negro.jpg\",\"width\":199,\"height\":65,\"caption\":\"Revista Electr\u00f3nica de Portales Medicos.com\"},\"image\":{\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/#\\\/schema\\\/person\\\/aff35293bfdd1e8bb11bc1d216ac2c6e\",\"name\":\"Redacci\u00f3n Revista\",\"sameAs\":[\"https:\\\/\\\/x.com\\\/portalesmedicos\"],\"url\":\"https:\\\/\\\/www.revista-portalesmedicos.com\\\/revista-medica\\\/author\\\/pmedadmin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite","description":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite Varela Barca, Laura (1); Redondo","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/","twitter_misc":{"Escrito por":"Redacci\u00f3n Revista","Tiempo de lectura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"ScholarlyArticle","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/#article","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/"},"author":{"name":"Redacci\u00f3n Revista","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e"},"headline":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite","datePublished":"2015-12-01T17:16:42+00:00","dateModified":"2015-12-01T17:16:44+00:00","mainEntityOfPage":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/"},"wordCount":329,"publisher":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization"},"articleSection":["Cirug\u00eda Cardiovascular"],"inLanguage":"es"},{"@type":["WebPage","ItemPage"],"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/","name":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website"},"datePublished":"2015-12-01T17:16:42+00:00","dateModified":"2015-12-01T17:16:44+00:00","description":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite Varela Barca, Laura (1); Redondo","breadcrumb":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/protesis-mecanica-aortica-ats-invertida\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inicio","item":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/"},{"@type":"ListItem","position":2,"name":"Cirug\u00eda Cardiovascular","item":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/publicaciones\/cirugia-cardiovascular\/"},{"@type":"ListItem","position":3,"name":"Empleo de pr\u00f3tesis mec\u00e1nica a\u00f3rtica ATS n\u00ba 22 invertida en posici\u00f3n mitral: nuestra experiencia en situaciones l\u00edmite"}]},{"@type":"WebSite","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/","name":"Revista Electr\u00f3nica de PortalesMedicos.com","description":"ISSN 1886-8924 - Publicaci\u00f3n de art\u00edculos, casos cl\u00ednicos, etc. de Medicina, Enfermer\u00eda y Ciencias de la Salud","publisher":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization"},"alternateName":"Revista de PortalesMedicos","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization","name":"Revista Electr\u00f3nica de Portales Medicos.com","alternateName":"Revista de PortalesMedicos","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg","contentUrl":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg","width":199,"height":65,"caption":"Revista Electr\u00f3nica de Portales Medicos.com"},"image":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e","name":"Redacci\u00f3n Revista","sameAs":["https:\/\/x.com\/portalesmedicos"],"url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/author\/pmedadmin\/"}]}},"views":2511,"_links":{"self":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/35396","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/comments?post=35396"}],"version-history":[{"count":0,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/35396\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/media?parent=35396"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/categories?post=35396"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/tags?post=35396"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}