{"id":35376,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-de-los-pacientes-tratados-con-cirugia-reparadora-tricuspide\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"historia-natural-de-los-pacientes-tratados-con-cirugia-reparadora-tricuspide","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/historia-natural-de-los-pacientes-tratados-con-cirugia-reparadora-tricuspide\/","title":{"rendered":"Historia natural de los pacientes tratados con cirugia reparadora tricuspide."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Roberto Mu\u00f1iz Moran <\/strong><\/h2>\n<p>El objetivo de este proyecto de investigaci\u00f3n es el conocimiento de la historia natural de los pacientes valvulares tratados quir\u00fargicamente mediante la reparaci\u00f3n de su valvulopat\u00eda tric\u00faspide. Se han estudiado los factores preoperatorios, operatorios y postoperatorios a largo plazo (22 a\u00f1os) predictivos de la mortalidad precoz y tard\u00eda, as\u00ed como de todas las complicaciones relacionadas con el procedimiento quir\u00fargico valvular. El seguimiento ha sido completo en el 96,7% con un seguimiento acumulado de 10.704 pacientes-a\u00f1o. La mortalidad hospitalaria fue del 9,9% y las curvas actuariales de supervivencia, libre de reoperaci\u00f3n y libre de complicaciones relacionadas con la valvula fueron del 34,1+-5,7%, 33,1+-6,4% y del 7,2+-2,9% a los 22 a\u00f1os, respectivamente. Los factores de riesgo pron\u00f3sticos identificados en el estudio uni y multivariante fueron: la edad, la clase funcional seg\u00fan la clasificaci\u00f3n de la new york heart association, el \u00edndice card\u00edaco, la presi\u00f3n sist\u00f3lica de la arteria pulmonar, la presi\u00f3n capilar media y el tiempo de circulaci\u00f3n extracorp\u00f3rea. En conclusi\u00f3n, la coexistencia de una lesi\u00f3n tric\u00faspide en el seno de una enfermedad valvular cardiaca determina un peor pron\u00f3stico producido por una mayor mortalidad precoz y tardia y una mayor incidencia de complicaciones a lo largo de 22 a\u00f1os de seguimiento, constituyendo una nueva entidad nosol\u00f3gica formada por los pacientes con cirug\u00eda reparadora de la v\u00e1lvula tric\u00faspide. Del estudio de los resultados de las t\u00e9cnicas reparadoras tric\u00faspides disponibles se deduce que no es necesario la implantaci\u00f3n de un anillo prot\u00e9sico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Historia natural de los pacientes tratados con cirugia reparadora tricuspide.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Historia natural de los pacientes tratados con cirugia reparadora tricuspide. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Roberto Mu\u00f1iz Moran <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Jos\u00e9 Manuel Revuelta Soba<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Vallejo Ruiz <\/li>\n<li> Pomar Moya-prat Jos\u00e9 Luis (vocal)<\/li>\n<li>Jos\u00e9 C. Fernandez-escalante Moreno (vocal)<\/li>\n<li>Jes\u00fas Herreros Gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Roberto Mu\u00f1iz Moran El objetivo de este proyecto de investigaci\u00f3n es el conocimiento de la historia natural [&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":[10518,9,141,2189],"tags":[17967,10680,24368,7944,94517,94516],"class_list":["post-35376","post","type-post","status-publish","format-standard","hentry","category-cantabria","category-ciencias-medicas","category-cirugia","category-cirugia-cardiaca","tag-jesus-herreros-gonzalez","tag-jose-c-fernandez-escalante-moreno","tag-jose-luis-vallejo-ruiz","tag-jose-manuel-revuelta-soba","tag-pomar-moya-prat-jose-luis","tag-roberto-muniz-moran"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/35376","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=35376"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/35376\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=35376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=35376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=35376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}