A5046502111- Cardiac Valve Diseases and Treatments
- Aortic Disease and Treatment Approaches
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Mechanical Circulatory Support Devices
- Tracheal and airway disorders
- Pleural and Pulmonary Diseases
- Cardiac tumors and thrombi
- Cardiac Imaging and Diagnostics
- Trauma Management and Diagnosis
- Aortic aneurysm repair treatments
- Vascular Procedures and Complications
- Aortic Thrombus and Embolism
- Botulinum Toxin and Related Neurological Disorders
- Intramuscular injections and effects
- Ultrasound in Clinical Applications
- Nerve Injury and Rehabilitation
- Renal Diseases and Glomerulopathies
- Inhalation and Respiratory Drug Delivery
- Intracranial Aneurysms: Treatment and Complications
- Systemic Sclerosis and Related Diseases
- Orthopedic Infections and Treatments
- Pericarditis and Cardiac Tamponade
- Infectious Aortic and Vascular Conditions
- Tissue Engineering and Regenerative Medicine
Marqués de Valdecilla University Hospital
2005-2022
Hospital Clínico Universitario de Valladolid
2021
Hospital Universitario Virgen Macarena
2020
Universidad de Cantabria
2017
Instituto de Investigación Marqués de Valdecilla
2011
Policlínica Gipuzkoa
2006-2008
Sapienza University of Rome
2001
We herein describe a safe and reproducible technique for left atrial volume reduction in patients with giant atrium. In 56-year-old patient undergoing redo mitral valve replacement, the atrium measured 18×20×17 cm occupying middle-lower segment of right hemithorax compression adjacent organs. The was reduced by triangular resections wall replaced using mechanical prosthesis. postoperative course uneventful diameter 11.2 at latest control.
Some researchers have observed an increased number of deaths during the follow-up young patients who undergo aortic valve replacement due to severe stenosis, suggesting that this procedure does not restore their life expectancy. Our goal was confirm these findings and explore sex-based differences.All between 50 65 years age underwent isolated in 27 Spanish centres 18-year period were included. We compared expected survival at 15 estimated cumulative incidence death from a competing risks...
Daptomycin is a bactericidal antibiotic approved for the treatment of skin and soft tissue infections right-side endocarditis. However, there lack published data outlining its usefulness in vascular graft (VGI). The aim this study was to describe clinical experience daptomycin use VGI caused by Gram-positive bacteria.This retrospective cohort patients diagnosed with receiving at tertiary care hospital during period January 2010 December 2012.Of total 1066 consecutive who had undergone grafts...
Massive or submassive pulmonary embolism (PE) carries a high mortality. Traditionally this condition has been treated with thrombolysis anticoagulation and support measures. Surgical embolectomy is carried out in situations of hemodynamic instability contraindication for thrombolysis. We present our results surgical patients massive PE.Over three-year period, we have 20 embolectomies acute PE. The mean age was 66 years, there were 11 males. In all cases, the diagnosis had made by...
Objective: The CarboMedics 'Top-Hat' supraannular prosthesis was designed to permit the implantation of a larger prosthesis. We evaluated outcome at 10 years in patients with this Methods: Between June 1993 and May 2001, 269 (average age, 63.9 years) received aortic Primary valve replacement performed on 203 (75.5%) repeat 66 (24.5%). duration myocardial ischemia 70.2 ± 31.4 min, cardiopulmonary bypass 96.1 48.3 postclamping time (time between release clamp end extracorporeal circulation)...
We report a case of acute hemothorax caused by the rupture mammary artery aneurysm in patient with neurofibromatosis type I.
A young male presented with a right parasternal stab wound. The chest radiography was normal and transthoracic echocardiography ruled out pericardial tamponade. He remained hemodynamically stable until three hours later when signs of progressive anemia were observed. Chest computed tomography showed massive right-sided hemothorax. patient underwent surgery, which revealed an active bleeding atriopleural fistula connecting the atrium draining into pleura resulting from negative pressure...
A young male presented with a right parasternal stab wound. The chest radiography was normal and transthoracic echocardiography ruled out pericardial tamponade. He remained hemodynamically stable until three hours later when signs of progressive anemia were observed. Chest computed tomography showed massive right-sided hemothorax. patient underwent surgery, which revealed an active bleeding atriopleural fistula connecting the atrium draining into pleura resulting from negative pressure...
En relación con los mecanismos de acción la cardiomioplastia dinámica (CMPD), una reducción del estrés mecánico contribuye a reducir niveles apoptosis miocárdica. La recurrencia dilatación ventrículo izquierdo, observado en pacientes IC congestiva, determina un ciclo vicioso parietal y pérdida celular por progresiva las cámaras ventriculares. Los resultados largo plazo CMPD se hallan limitados condición preoperatoria incidencia muerte súbita. ofrece cierta seguridad para ser utilizada como...
El importante desarrollo en los últimos años de las técnicas endovasculares e implantación endoprótesis torácicas se ha convertido una alternativa a casos aneurismas localizados nivel del cayado aórtico. Sin embargo, la estos implica derivación previa troncos supraaórticos. A continuación exponemos dos diferentes estrategias derivativas. primer caso, un varón 67 años, diagnosticado aneurisma aórtico originado aorta ascendente previo salida tronco braquiocefálico derecho, con extensión hasta...
Está demostrado el uso de la asistencia tipo oxigenador membrana extracorpórea (ECMO) para pacientes con insuficiencia respiratoria refractaria al tratamiento clásico. Se puede utilizar modalidad venovenosa como soporte a oxigenación, o venoarterial hemodinámico, respiratorio y oxigenación directa cerebro. trata un paciente 31 años que ingresa por neumonía bilateral convencional. implanta ECMO venovenoso buen resultado inicial. A los 6 días se cambia bajo rendimiento comprobando cerebral era...
El shock séptico puede complicarse con fallo ventricular izquierdo. Complicación grave pero potencialmente reversible. problema es mantener al paciente estable hasta que los antibióticos y las medidas de soporte realicen su función. Se ha considerado la sepsis una contraindicación para asistencia circulatoria. Evaluar si mecánica da a pacientes «corazón sepsis». Describimos características evolución diagnóstico miocardiopatía séptica evolucionaron fulminante. Analizamos 4 pacientes, 3...
El número de trasplantes pulmón está aumentando, siendo éstos cada vez más complicados y en situaciones límites. sistema oxigenador membrana extracorpórea (ECMO) realiza asistencia cardiorrespiratoria (venoarterial) o respiratoria (venovenoso). objetivo es valorar los sistemas implantados ECMO, ya sea como puente al trasplante para realizar el trasplante. Analizamos 7 pacientes, 4 ellos se implanta ECMO a 3 soporte durante la realización cirugía apoyo postoperatorio inmediato. Edad media...
En los últimos tiempos, la implantación de asistencias cardiocirculatorias ha crecido manera exponencial. Está claro que existe una curva aprendizaje importante. El objetivo este trabajo es mostrar las complicaciones y errores cometidos en nuestra serie. Desde abril 2009 - septiembre 2011 se han implantado 73 dispositivos, tanto como cardíacas respiratorias. Durante habido el 12% casos, incluyendo desplazamiento cánula, malposición, recirculación respiratorias rotura orejuela derecha....
Paciente intervenida de sustitución aórtica con prótesis mecánica Overline 20 mm. Tras 10 días ingresa diagnóstico infarto inferoposterior. Una ecocardiografía evidencia normal abertura los hemidiscos y disfunción ventricular derecha, la aortografía (Fig. 1) falta llenado alrededor sugestivo trombosis perianular. En intervención se completa del espacio circundante cuerpo protésico coronaria derecha 2). Se implanta nueva 21 mm técnica habitual sin complicaciones. This patient underwent aortic...