{"id":35419,"date":"2015-12-01T21:48:51","date_gmt":"2015-12-01T20:48:51","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35419"},"modified":"2015-12-01T21:48:54","modified_gmt":"2015-12-01T20:48:54","slug":"aneurisma-aorto-bi-iliaco","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/","title":{"rendered":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico.<\/strong><\/h1>\n<p style=\"text-align: justify;\">Fern\u00e1ndez S\u00e1enz, Frank Alberto (1); Sadek Dorgham, Ali (1); Arango Segura, Paulo C\u00e9sar (1); Valderrama Marcos, Jos\u00e9 Francisco (1); Calleja Rosas, Fernando (1); Mart\u00edn Manzano, Alfonso (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Regional Universitario de M\u00e1laga (1)<\/p>\n<p style=\"text-align: justify;\">Var\u00f3n 66 a\u00f1os, referido por dolor de reposo regi\u00f3n inguinal derecha, limitaci\u00f3n para la marcha y sue\u00f1o. AngioTAC, aneurisma de iliaca com\u00fan derecha; hemocultivo positivo Salmonella especies. Se realiza resecci\u00f3n importante de aneurisma aorto bi-iliaco y respectivo bypass bifurcado con buen resultado posterior.<\/p>\n<p style=\"text-align: justify;\">INTRODUCCI\u00d3N: Aneurismas a\u00f3rticos mic\u00f3ticos (AAM) usualmente de etiolog\u00eda bacteriana, pobre pron\u00f3stico por r\u00e1pido crecimiento y riesgo de ruptura.<\/p>\n<p style=\"text-align: justify;\">CASO: Var\u00f3n 66 a\u00f1os, alergia a penicilinas. Angiotac, sector iliaco derecho con aneurisma disecante de un di\u00e1metro m\u00e1ximo 20mm que termina antes de bifurcaci\u00f3n iliaca; hemocultivo positivo Salmonella especies.<\/p>\n<p style=\"text-align: justify;\">Se identific\u00f3 gran aneurisma en sector aorto bi-iliaco de mayor extensi\u00f3n derecha, muy adherido a planos adyacentes e inclusi\u00f3n parcial de ur\u00e9ter derecho. M\u00e1xima resecci\u00f3n posible de saco aneurism\u00e1tico; posteriormente bypass aorto bi-iliaco (ABB).<\/p>\n<p style=\"text-align: justify;\">DISCUSI\u00d3N: Aneurisma a\u00f3rtico mic\u00f3tico (AAM), incidencia 0.65% &#8211; 2% todos aneurismas a\u00f3rticos en pa\u00edses occidentales, m\u00e1s alta en Asia. Severa comorbilidad asociada como inmunodeficiencia, y sepsis coexistente. Tratamiento quir\u00fargico con resecci\u00f3n del aneurisma y revascularizaci\u00f3n es el gold standard. El Tratamiento endovascular (EVAR), opci\u00f3n terap\u00e9utica en pacientes con alta morbi-mortalidad.<\/p>\n<p style=\"text-align: justify;\">Se opt\u00f3 por cirug\u00eda abierta, paciente estable y menor morbilidad, resecci\u00f3n del aneurisma y ABB con buen resultado. EVAR podr\u00eda ser considerado como definitivo \u00f3 puente a la cirug\u00eda abierta.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 60<\/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>Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico. Fern\u00e1ndez S\u00e1enz, Frank Alberto (1); Sadek Dorgham, Ali (1); Arango Segura, Paulo C\u00e9sar (1); Valderrama Marcos, Jos\u00e9 Francisco (1); Calleja Rosas, Fernando (1); Mart\u00edn Manzano, Alfonso (1) Hospital Regional Universitario de M\u00e1laga (1) Var\u00f3n 66 a\u00f1os, referido por dolor de reposo regi\u00f3n inguinal derecha, limitaci\u00f3n para la marcha &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/#more-35419\" aria-label=\"Leer m\u00e1s sobre Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico\">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-35419","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>Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico<\/title>\n<meta name=\"description\" content=\"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico. Fern\u00e1ndez S\u00e1enz, Frank Alberto (1); Sadek Dorgham, Ali (1); Arango Segura, Paulo C\u00e9sar (1);\" \/>\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\/aneurisma-aorto-bi-iliaco\/\" \/>\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=\"1 minuto\" \/>\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\/aneurisma-aorto-bi-iliaco\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/\"},\"author\":{\"name\":\"Redacci\u00f3n Revista\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e\"},\"headline\":\"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico\",\"datePublished\":\"2015-12-01T20:48:51+00:00\",\"dateModified\":\"2015-12-01T20:48:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/\"},\"wordCount\":306,\"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\/aneurisma-aorto-bi-iliaco\/\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/\",\"name\":\"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico\",\"isPartOf\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website\"},\"datePublished\":\"2015-12-01T20:48:51+00:00\",\"dateModified\":\"2015-12-01T20:48:54+00:00\",\"description\":\"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico. Fern\u00e1ndez S\u00e1enz, Frank Alberto (1); Sadek Dorgham, Ali (1); Arango Segura, Paulo C\u00e9sar (1);\",\"breadcrumb\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/#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\":\"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico\"}]},{\"@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":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico","description":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico. Fern\u00e1ndez S\u00e1enz, Frank Alberto (1); Sadek Dorgham, Ali (1); Arango Segura, Paulo C\u00e9sar (1);","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\/aneurisma-aorto-bi-iliaco\/","twitter_misc":{"Escrito por":"Redacci\u00f3n Revista","Tiempo de lectura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"ScholarlyArticle","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/#article","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/"},"author":{"name":"Redacci\u00f3n Revista","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e"},"headline":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico","datePublished":"2015-12-01T20:48:51+00:00","dateModified":"2015-12-01T20:48:54+00:00","mainEntityOfPage":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/"},"wordCount":306,"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\/aneurisma-aorto-bi-iliaco\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/","name":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website"},"datePublished":"2015-12-01T20:48:51+00:00","dateModified":"2015-12-01T20:48:54+00:00","description":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico. Fern\u00e1ndez S\u00e1enz, Frank Alberto (1); Sadek Dorgham, Ali (1); Arango Segura, Paulo C\u00e9sar (1);","breadcrumb":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/aneurisma-aorto-bi-iliaco\/#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":"Gran aneurisma aorto bi-iliaco mic\u00f3tico. Manejo quir\u00fargico"}]},{"@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":1633,"_links":{"self":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/35419","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=35419"}],"version-history":[{"count":0,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/35419\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/media?parent=35419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/categories?post=35419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/tags?post=35419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}