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Revista Cardiovascular最新文献

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Disección aórtica de Stanford Tipo A, en paciente pediátrico con posible Síndrome de Loeys-Dietz 斯坦福A型主动脉解剖,可能患有洛伊斯-迪茨综合征的儿科患者
Pub Date : 2019-01-01 DOI: 10.34039/REV.CARD11/MANTILLA2
J. Mantilla, Leonardo Cely-Andrade
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引用次数: 0
PRE-TRASPLANT MANAGEMENT OF MULTIORGAN CADAVERIC DONOR 多器官尸体供体的移植前处理
Pub Date : 2019-01-01 DOI: 10.34039/rev.card11/salcedo
O. Salcedo
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引用次数: 0
STANFORD TYPE A AORTIC DISSECTION IN A PEDIATRIC PATIENT WITH POSSIBLE LOESYS-DIETZ SYNDROME 斯坦福型a型主动脉夹层患儿可能有loesys-dietz综合征
Pub Date : 2019-01-01 DOI: 10.34039/rev.card11/mantilla
J. Mantilla, Leonardo Cely-Andrade, J. Olaya, A. Velandia
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引用次数: 0
HYBRID PROCEDURE A PATIENT WITH STANFORD TYPE B AORTIC DISSECTION WITH AORTIC ARCH RETROGRADA EXTENSION. 斯坦福B型主动脉夹层伴主动脉弓后延伸的混合手术。
Pub Date : 2019-01-01 DOI: 10.34039/REV.CARD11/LAREZ
Veronike Larez, J. Mantilla, L. Olaya, E. Santis, Leonardo Cely-Andrade
Aortic dissection is considered one of the most catastrophic vascular diseases whose true incidence is difficult to estimate. According to the International Registry of Aortic Dissections (IRAD) risk factors for aortic dissection include, hypertension, Marfan syndrome, iatrogenic, cocaine consumption, bicuspid valve. Aortic dilatation is a well-established risk factor for AAD. This text presents present the case of a male patient, 52 years old, hypertensive, diagnosis of type B acute aortic dissection according to Stanford, with retrograde extension of the aortic arch, confirmed by echocardiography and Angiotac, with findings of bovine trunk, trivalic aortic valve and ascending aorta without alterations. , 3.8 cm aortic arch, a, with an old image of dissection flap at the birth of the bovine trunk (TB), which extends to the aortic arch to the right iliac, left renal involvement and celiac trunk. Hybrid procedure is performed, first surgical time: derivation of supra-aortic vessels by “Debranching” technique; 10 days later, second surgical time: endovascular repair of thoracic aorta (TEVAR), with discharge after 6 days. Conclusions: 1. The arch derailing is a procedure that presents satisfactory results as well as complications comparable to the conventional technique. 2. It has the benefit of carrying out the revascularization of the supra-aortic vessels outside of CPB, cardiac arrest and without circulatory arrest. 3. Minor surgical time, and rapid postoperative evolution. 4. Although it involves two surgical acts for the patient, with the inherent risks of the endovascular-surgical procedures, and represents greater cost in terms of inputs, this can be compensated for by the fact of not having had any complications, and represent a short Hospital stay given the magnitude of the pathology. Key woRds: Dissection of aortic arch, TEVAR, debranching, hybrid procedure. Doi: 10.34039/REV.CARD11/larez Clinical case
主动脉夹层被认为是最具灾难性的血管疾病之一,其真实发病率难以估计。根据国际主动脉夹层登记处(IRAD)的资料,主动脉夹层的风险因素包括:高血压、马凡综合征、先天性因素、可卡因摄入、双尖瓣。主动脉扩张是主动脉夹层的公认危险因素。本文介绍的病例是一名男性患者,52 岁,高血压,根据斯坦福诊断为 B 型急性主动脉夹层,主动脉弓逆行扩展,超声心动图和血管造影证实了这一诊断。3.8 厘米的主动脉弓,a,在牛干(TB)出生时有夹层瓣的旧图像,TB 延伸到主动脉弓到右髂,左肾受累和腹腔干。进行了混合手术,第一次手术时间:通过 "去分支 "技术衍生主动脉上血管;10 天后,第二次手术时间:胸主动脉血管内修复术(TEVAR),6 天后出院。结论1.主动脉弓脱轨术效果令人满意,并发症与传统技术相当。2.2. 它的优点是可以在 CPB、心脏停跳和无循环停止的情况下对主动脉上血管进行血管重建。3.手术时间短,术后恢复快。4.4. 虽然患者需要进行两次手术,而且存在血管内手术的固有风险,投入成本较高,但由于没有出现任何并发症,住院时间较短,因此可以弥补上述不足。关键字主动脉弓夹层、TEVAR、去支路、混合手术。Doi: 10.34039/REV.CARD11/larez 临床病例
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引用次数: 0
TROMBOELASTOGRAPHY DESCRIPTION OF CHANGES IN COAGULATION PRODUCED BY CARDIOVASCULAR SURGERY IN PATIENTS UNDERWEK ESCTRACORPIRE CIRCULATION. 血管弹性图描述了在血管循环不足的患者中,心血管手术引起的凝血变化。
Pub Date : 2019-01-01 DOI: 10.34039/REV.CARD11/LAVERDE
Carlos Laverde, A. Velandia, Jorge Mario Córdoba, Leonardo Cely-Andrade, C. Castellanos, E. F. Sánchez
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引用次数: 0
Anestesia en cirugía cardíaca mínimamente invasiva: Revisión narrativa.
Pub Date : 2019-01-01 DOI: 10.34039/REV.CARD11/REYES
J. Jiménez, L. E. Reyes, J. Peña
Recently, professionals in cardiovascular surgery and anesthesiology have been involved with new surgical procedures and different technical approaches that have significant changes in the operative management of patients undergoing minimally invasive cardiac surgery. This narrative review will examine some of its own elements related to the anesthetic behavior of this surgery.
最近,心血管外科和麻醉学的专业人员参与了新的外科手术方法和不同的技术方法,这些方法对微创心脏手术患者的手术管理产生了重大变化。这篇叙述性的综述将研究一些与手术麻醉行为相关的自身因素。
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引用次数: 0
期刊
Revista Cardiovascular
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