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Endocarditis infecciosa sobre válvula protésica aórtica por listeria monocytogenes en paciente con cardiopatía congénita compleja 复杂先天性心脏病患者因李斯特菌引起的主动脉人工瓣膜感染性心内膜炎
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.010
A. Fuentenebro , J. Asensio Nogueira , N. Sánchez Mata , L. Sánchez Gómez , M.A. Mantecón Vallejo , A.D. Sancha Mijangos , R. Vara Arlanzón , M. Nevares Herrero , A. Pérez Rivera , M. Fernández Regueras
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引用次数: 0
Infecciones en pacientes con dispositivos de asistencias para ventrículo izquierdo de larga duración 长期使用左心室辅助装置患者的感染问题
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.029
F. Arnaiz de las Revillas , M. Gutiérrez-Cuadra , A. Canteli , A. Sarralde , C. Castrillo , V. Tascón , C. González Rico , M. Cobo Beláustegui , C. Fariñas
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引用次数: 0
Crisis de cianosis periférica como forma de presentación atípica y tardía de coartación aórtica grave 外周发绀危象是重度主动脉闭塞症的一种非典型晚期表现形式
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.10.003
María López de Viñaspre Vera-Fajardo , Jesús Garde Basas , Alejandro Rodríguez Ogando , José Luis Zunzunegui Martínez , M. Teresa Viadero Ubierna
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引用次数: 0
Paciente con síndrome de marfan con endocarditis protésica precoz 患有早期人工心内膜炎的马凡氏综合征患者
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.026
A. Ramos Martínez , A. Forteza Gil , I. Sánchez Romero , I. Rivera Campos , M. Cobo Marcos , C. Martín Esteban , I. de Diego Yagüe , B. Arboledas Miranda , F. Domínguez Rodríguez , J. Calderón Parra
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引用次数: 0
Influencia de la cirugía cardiaca y de eventos clínicos en el pronóstico de la endocarditis infecciosa 心脏手术和临床事件对感染性心内膜炎预后的影响
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.019
G.R. Padilla Rodríguez , A. Gómez González , M. Núñez Ruiz , A. Peña Rodríguez , I. Méndez Santos , L.E. López Cortés
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引用次数: 0
Infección de endoprótesis aórtica asociada a fístula aortoentérica 主动脉支架感染伴有主动脉肠瘘
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.020
Miguel Barquero , Carlos J. Velazquez , Luis E López Cortés , José M. Fajardo , Ángel Nogales , José M. Barquero Aroca
{"title":"Infección de endoprótesis aórtica asociada a fístula aortoentérica","authors":"Miguel Barquero , Carlos J. Velazquez , Luis E López Cortés , José M. Fajardo , Ángel Nogales , José M. Barquero Aroca","doi":"10.1016/j.circv.2023.11.020","DOIUrl":"https://doi.org/10.1016/j.circv.2023.11.020","url":null,"abstract":"","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 1","pages":"Page 37"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1134009623001961/pdfft?md5=174db2d9233b431619b8d96c159bf904&pid=1-s2.0-S1134009623001961-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139732733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estudio in vitro de la eficacia de las nuevas combinaciones orales en el tratamiento ambulatorio de la ei por S. aureus sensible a la meticilina 新型口服复方制剂在门诊治疗对甲氧西林敏感的金黄色葡萄球菌 IE 中疗效的体外研究。
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.008
M.A. Cañas, J. Fabregat, J. García-González, G. Cuervo, C. Falces, M. Hernández-Meneses, E. Quintana, A. Moreno, J.M. Miró, C. García-de-la-Mària, el grupo de estudio de la Endocarditis del Hospital Clínic de Barcelona
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引用次数: 0
NO SOLO SE INFECTA LO QUE SE IMPLANTA. UN CASO DE ENDOCARDITIS SOBRE VÁLVULA NATIVA 受感染的不仅仅是植入的东西。一例原生瓣膜心内膜炎病例
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.11.022
M. López Vázquez, E. Mínguez de la Guía, Á. Pinar Abellán, A. Gutiérrez López, N. Vallejo Calcerrada
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引用次数: 0
Asistencia de larga duración en pacientes pediátricos: 15 años de experiencia 儿科患者的长期护理：15年经验
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2022.07.005
Blanca Torres-Maestro, Luz Polo-López, Álvaro González-Rocafort, Bunty Ramchandani-Ramchandani, Juvenal Rey-Lois, Raúl Sánchez-Pérez, Tomasa Centella-Hernández, María J. Lamas-Hernández, Juan J. Menéndez-Suso, Ángela Uceda-Galiano, Patricio González-Pizarro, Ángel Aroca-Peinado

Background and aim

The aim is to analyse clinical and survival results after the implant of a long-term mechanical assist device in pediatric patients in the end stages of heart failure.

Methods

Between January 2006 and November 2021 34 Berlin Heart EXCOR® devices were implanted in pediatric patients. We analysed preoperative and intraoperative characteristics, together with complications after implant. Outcomes were also evaluated (transplant vs. death). Statistical analysis with STATA IC 15.

Results

The mean age was 51 ± 53 months (1-180), mean weight 17 ± 16 kg (2.2-65). Underlying heart disease was myocardiopathy in 68% and congenital heart disease in 32%. The Berlin Heart EXCOR® device was univentricular in 64% of the patients. Surgical indication was bridge to transplant in 97%. Mean duration of mechanical support was 92 ± 105 days (1-511). Postoperative complications were common: 62% infectious and 44% neurological (29% ischaemic and 15% haemorrhagic). Mortality of haemorrhagic strokes 80%, ischaemic 20%. Since 2019, when heparin was changed to bivalirudin, no mortal strokes were observed. 71% of the patients has been transplanted, 29% has died.

Conclusions

As a response to the increasing number of paediatric patients in end stages of congestive heart failure, the use of the Berlin Heart EXCOR® device has spread, especially if the intention is to use it as bridge to transplant. Neurological events, mostly haemorrhagic, are the most feared because of high mortality. Nevertheless, it is an encouraging alternative as a long-term mechanical assist device in children, allowing them to reach the transplant in 71% of the cases.

背景和目的：目的是分析心衰晚期儿童患者植入长期机械辅助装置后的临床和生存结果。方法：2006 年 1 月至 2021 年 11 月期间，我们为儿童患者植入了 34 台柏林心脏 EXCOR® 装置。我们分析了术前和术中特征以及植入后的并发症。同时还评估了结果（移植与死亡）。结果平均年龄为 51±53 个月（1-180），平均体重为 17±16 公斤（2.2-65）。68%的患者患有心肌病，32%患有先天性心脏病。64%的患者使用的柏林心脏EXCOR®设备是单心室的。97%的患者的手术指征是为移植搭桥。机械支持的平均持续时间为 92 ± 105 天（1-511 天）。术后并发症很常见：62%为感染性并发症，44%为神经性并发症（29%为缺血性并发症，15%为出血性并发症）。出血性中风死亡率为80%，缺血性中风死亡率为20%。自 2019 年将肝素改为双醋瑞定以来，没有观察到致命的中风。结论随着充血性心力衰竭晚期的儿科患者人数不断增加，柏林心脏EXCOR®设备的使用范围也在不断扩大，尤其是在打算将其作为移植桥梁的情况下。由于死亡率高，最令人担忧的是神经系统事件，主要是出血性事件。尽管如此，作为儿童的长期机械辅助装置，柏林心脏 EXCOR® 是一个令人鼓舞的选择，71% 的病例可以通过该装置进行移植手术。
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引用次数: 0
Trasplante de corazón a partir de donante positivo a SARS-CoV-2. Primer caso en México 来自SARS-CoV-2阳性供体的心脏移植。墨西哥首例病例
IF 0.3 Q4 Medicine
Cirugia Cardiovascular
Pub Date : 2024-01-01 DOI: 10.1016/j.circv.2023.01.001
Guillermo Careaga-Reyna , Hugo Jesús Zetina-Tun , Leticia Arizbeth Hernández-Castro , Hugo Arturo Álvarez-Alvarado , Aidé Saraí de la Cruz-Domínguez , Luis Manuel Álvarez-Sáncheza

The COVID-19 pandemic affected transplant programs by decreasing the number of procedures performed. Although they have already restarted, the lack of donors is a limitation, given the possibility of transmission of the virus. Currently, transplants have been performed under special conditions from SARS-CoV-2 positive donors. We present the case of a 58-year-old male patient with refractory heart failure secondary to residual postinfarction interventricular septal defect who received heart from a 16-year-old asymptomatic, SARS-CoV-2-positive donor. The procedure was performed without complications, with favorable postoperative evolution, discharged 15 days posttransplant. Currently asymptomatic and with no evidence of SARS-CoV-2 infection. This is the first case in Mexico carried out under these conditions.

COVID-19 大流行影响了移植计划，减少了移植手术的数量。尽管这些计划已经重新启动，但由于病毒传播的可能性，供体的缺乏仍是一个限制因素。目前，已在特殊条件下对 SARS-CoV-2 阳性供体进行了移植。我们介绍了一例因梗死后室间隔缺损残留而继发难治性心力衰竭的 58 岁男性患者，他接受了来自 16 岁无症状、SARS-CoV-2 阳性供体的心脏。手术过程无并发症，术后恢复良好，移植后 15 天出院。目前无症状，无 SARS-CoV-2 感染迹象。这是墨西哥首例在这种情况下进行的移植手术。
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