{"id":24056,"date":"2018-03-09T09:14:51","date_gmt":"2018-03-09T09:14:51","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reduccion-de-la-auricula-izquierda-en-el-tratamiento-de-la-fibrilacion-auricular-por-valvulopatia-mitral\/"},"modified":"2018-03-09T09:14:51","modified_gmt":"2018-03-09T09:14:51","slug":"reduccion-de-la-auricula-izquierda-en-el-tratamiento-de-la-fibrilacion-auricular-por-valvulopatia-mitral","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reduccion-de-la-auricula-izquierda-en-el-tratamiento-de-la-fibrilacion-auricular-por-valvulopatia-mitral\/","title":{"rendered":"Reducci\u00f3n de la auricula izquierda en el tratamiento de la fibrilaci\u00f3n auricular por valvulopatia mitral"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Hornero Sos <\/strong><\/h2>\n<p>Hip\u00f3tesis  en pacientes con valvulopat\u00eda mitral en fibrilaci\u00f3n auricular (fa) permanente y aur\u00edcula izquierda (ai) dilatada, la reducci\u00f3n de tejido (masa cr\u00edtica) puede eliminar la fa restableci\u00e9ndose el ritmo sinusal, y probablemente disminuir a largo plazo las complicaciones cl\u00ednicas de las aur\u00edculas dilatadas.  material y m\u00e9todo  estudio prospectivo formado por pacientes con fa permanente, ranzomizados en grupo i, 25 pacientes intervenidos de valvulopat\u00eda mitral con reducci\u00f3n tejido ai (auriculectom\u00eda parcial de cara posterior), y grupo ii, 25 pacientes con solo cirug\u00eda mitral. Tras un seguimiento medio de 31 meses, cl\u00ednico, ecg y ecoardiogr\u00e1fico se alcanzaron los siguientes.  resultados  el 46% de pacientes del grupo i recuperaron ritmo sinusal (rs) versus 18% grupo ii (p=0.06). El 70% de pacientes del grupo i con fa permante de menos de tres a\u00f1os de antig\u00ed\u00bcedad recuperaron el rs. Un remodelado auricular con regresi\u00f3n en tama\u00f1os sucedi\u00f3 en todos los pacientes que recuperaron rs, m\u00e1s acentuado en el grupo ii (-10.8% reducci\u00f3n volumen ai grupo i versus -21.5%, grupo ii; p&lt; 0,05). Una nueva dilataci\u00f3n aur\u00edcular presentaron los pacientes que permanecieron en fa, en especial los del grupo i (+16.8% volumen ai grupo i versus +8.4% grupo ii; p&lt;0.05). Entre los pacientes del grupo i con recuperaci\u00f3n del rs el 81% recuperaron contracci\u00f3n auricular ecocardiogr\u00e1fica.  la reducci\u00f3n de tejido no incrementa la morbi-mortalidad postoperatoria, ni la tard\u00eda. En el an\u00e1lisis multivariable la auriculectom\u00eda y la antig\u00ed\u00bcedad preoperatoria de la fa han sido las \u00fanicas variables predictoras de la ablaci\u00f3n de la fa permanente.  conclusiones  la reducci\u00f3n de tejido de ai en pacientes con valvulopat\u00eda mitral quir\u00fargica favorece la alblaci\u00f3n de la fa permanente, sindo un procedimiento simple con m\u00ednimos efectos adversos. El remodelado auricular tard\u00edo de la ai dependi\u00f3 del tipo de ritmo auricular y del vo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Reducci\u00f3n de la auricula izquierda en el tratamiento de la fibrilaci\u00f3n auricular por valvulopatia mitral<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Reducci\u00f3n de la auricula izquierda en el tratamiento de la fibrilaci\u00f3n auricular por valvulopatia mitral <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Hornero Sos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/06\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Montero Argudo J. Anastasio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Concha ruiz <\/li>\n<li>Jes\u00fas Herreros gonzalez (vocal)<\/li>\n<li>Francisco Javier Saiz rodriguez (vocal)<\/li>\n<li> Ferrero loma-osorio Jos\u00e9 m. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Hornero Sos Hip\u00f3tesis en pacientes con valvulopat\u00eda mitral en fibrilaci\u00f3n auricular (fa) permanente y aur\u00edcula izquierda [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[70928,70930,46198,17967,2286,70929],"class_list":["post-24056","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-fernando-hornero-sos","tag-ferrero-loma-osorio-jose-m","tag-francisco-javier-saiz-rodriguez","tag-jesus-herreros-gonzalez","tag-manuel-concha-ruiz","tag-montero-argudo-j-anastasio"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=24056"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24056\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=24056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=24056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=24056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}