{"id":40717,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-quirurgico-despues-de-la-valvuloplastia-mitral-percutanea-fallida\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"tratamiento-quirurgico-despues-de-la-valvuloplastia-mitral-percutanea-fallida","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-quirurgico-despues-de-la-valvuloplastia-mitral-percutanea-fallida\/","title":{"rendered":"Tratamiento quirurgico despues de la valvuloplastia mitral percutanea fallida."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Gutierrez Garcia <\/strong><\/h2>\n<p>Una de las opciones terap\u00e9uticas reconocidas para el tratamiento de la estenosis mitral de etiolog\u00eda reum\u00e1tica es la valvuloplatia por v\u00eda percut\u00e1nea con un cat\u00e9ter-bal\u00f3n. En espa\u00f1a se dan una circunstancias peculiares ya que la prevelencia de la enfermedad reum\u00e1tica es superior a la de oros pa\u00edses desarrollados y por otra parte, la disponibilidad de medios econ\u00f3micos elevados permite el uso de una t\u00e9cnica muy costosa. La valvuloplatia mitral percut\u00e1nea no est\u00e1 exenta de riesgos y un porcentaje de los casos tratados requieren un tratamiento quir\u00fargico urgente, a corto o a largo plazo. Esta nueva entidad nosol\u00f3gica que denominados \u00abvalvuloplastia mitral percut\u00e1nea fallida\u00bb no ha sido estudiada con detenimiento y es el motivo del presente proyecto de investigaci\u00f3n.  analizamos los resultados quir\u00fargicos de una serie consecutiva de 71 pacientes (15,5% del total de pacientes de han sido sometidos una valvuloplastia en nuestro hospital) y que constituye la serie m\u00e1s amplia a nivel mundial. Se analizan factores como el intervalo entre la valvuloplatia y la intervenci\u00f3n quir\u00fargica, la causa de fracaso de la valvuloplastia, el \u00abscore\u00bb ecocardiogr\u00e1fico previo a la valvuloplastia, el tipo de procedimiento quir\u00fargico realizado (reparaci\u00f3n o recambio valvular), el grado de insuficiencia mitral residual post-valvuloplastia y las lesiones anat\u00f3micas halladas durante el acto quir\u00fargico.  los resultados obtenidos de este estudio muestran que por una parte se han establecido criterios diferentes para indicar una valvuloplastia mitral o una intervenci\u00f3n quir\u00fargica, la posibilidad de reparaci\u00f3n valvular mitral se halla disminuida debido a la iatrogenia que produce el procedimiento dilatador. Por otra parte, la valvuloplastia mitral fallida es una entidad nosol\u00f3gica diferente a la enfermedad mitral sobre v\u00e1lvula nativa existiendo diferentes causas de fracaso de la valvuloplastia: imposibilidad t\u00e9cnica, lesiones de las cavid<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento quirurgico despues de la valvuloplastia mitral percutanea fallida.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento quirurgico despues de la valvuloplastia mitral percutanea fallida. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Gutierrez Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/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>Jos\u00e9 Manuel Revuelta Soba<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 fernando Val bernal <\/li>\n<li>Carlos Mestres lucio (vocal)<\/li>\n<li>Jos\u00e9 lu\u00eds Pomar moya-prats (vocal)<\/li>\n<li>gabriel T\u00e9llez de peralta (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Gutierrez Garcia Una de las opciones terap\u00e9uticas reconocidas para el tratamiento de la estenosis mitral de [&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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