{"id":40012,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-valvuloplastia-percutanea-en-la-estenosis-valvular-aortica-durante-la-edad-pediatrica\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"la-valvuloplastia-percutanea-en-la-estenosis-valvular-aortica-durante-la-edad-pediatrica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-valvuloplastia-percutanea-en-la-estenosis-valvular-aortica-durante-la-edad-pediatrica\/","title":{"rendered":"La valvuloplastia percutanea en la estenosis valvular aortica durante la edad pediatrica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Villalba Nogales <\/strong><\/h2>\n<p>Estudio de los resultados inmediatos y a medio y largo plazo, de la valvuloplastia percut\u00e1nea en neonatos y en ni\u00f1os (lactantes, ni\u00f1os y adolescentes). Se identifican los factores anat\u00f3micos o hemodin\u00e1micos que se asocian a mayor o menor eficacia del procedimiento, la correlaci\u00f3n entre los hallazgos ecocardiogr\u00e1ficos y angiogr\u00e1fico-hemodin\u00e1micos, estudio de las complicaciones y de la \u00f3ptima relaci\u00f3n bal\u00f3n-anillo.  el trabajo se realiza entre julio-1986 y junio-1996 (10 a\u00f1os), recogi\u00e9ndose 16 casos neonatales y 51 pedi\u00e1tricos. Se realiza estudio ecocardiogr\u00e1fico en modo m, bidimensional, color y doppler, y estudio angiogr\u00e1fico-hemodin\u00e1mico previo y posterior a la valvuloplastia. El seguimiento se realiza con estudios ecocardiogr\u00e1ficos exclusivamente. El an\u00e1lisis estad\u00edstico, con el test de wilcoxon-mann.  las correlaciones entre los hallazgos ecocardiogr\u00e1ficos y los ehmodin\u00e1micos son perfectamente concordantes en cuanto al tama\u00f1o del anillo a\u00f3rtico, n\u00famero de c\u00faspides y reducci\u00f3n del gradiente hemodin\u00e1mico para el grupo pedi\u00e1trico y, adem\u00e1s, en la valoraci\u00f3n del gradiente prevalvuloplastia, para el neonatal. La reducci\u00f3n media del gradiente hemodin\u00e1mico fue de 47,73 mm hg para neonatos, lo que supone el 54,73% sobre el gradiente previo. para el grupo pedi\u00e1trico fue del 70,35% de media, es decir, 44,50 mm hg sobre los valores iniciales. La insuficiencia a\u00f3rtica se elev\u00f3 tras el procedimiento aunque hemos de considerarla propia del mismo cuando el incremento es por debajo de leve. en el grupo neonatal se elev\u00f3 por encima de leve en s\u00f3lo el 25%, y en el grupo pedi\u00e1trico en el 23,5%. La mejor relaci\u00f3n bal\u00f3n-anillo encontrada en ambos grupos fue entre 0,97 y 1,02. En el seguimiento a medio y largo plazo se mantienen los resultados iniciales con reestenosis en el 27,27% en neonatos y 15,6% en el grupo pedi\u00e1trico.#<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La valvuloplastia percutanea en la estenosis valvular aortica durante la edad pediatrica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La valvuloplastia percutanea en la estenosis valvular aortica durante la edad pediatrica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Villalba Nogales <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Angel Nogales Espert<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Casado de fr\u00edas enrique <\/li>\n<li>Antonio Ba\u00f1o rodrigo (vocal)<\/li>\n<li>julio Ardura fern\u00e1ndez (vocal)<\/li>\n<li>Fernando Villagra blanco (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Villalba Nogales Estudio de los resultados inmediatos y a medio y largo plazo, de la valvuloplastia [&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 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