{"id":55502,"date":"2018-03-09T22:43:12","date_gmt":"2018-03-09T22:43:12","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-quirurgico-de-la-enfermedad-tricuspide-organica-30-anos-de-experiencia\/"},"modified":"2018-03-09T22:43:12","modified_gmt":"2018-03-09T22:43:12","slug":"tratamiento-quirurgico-de-la-enfermedad-tricuspide-organica-30-anos-de-experiencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/tratamiento-quirurgico-de-la-enfermedad-tricuspide-organica-30-anos-de-experiencia\/","title":{"rendered":"Tratamiento quir\u00fargico de la enfermedad tric\u00faspide org\u00e1nica: 30 a\u00f1os de experiencia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Bego\u00f1a Diaz Diaz <\/strong><\/h2>\n<p>Introducci\u00f3n     la afectaci\u00f3n org\u00e1nica valvular tricusp\u00eddea es debida, en la mayor\u00eda de las ocasiones, a una enfermedad reum\u00e1tica. La fiebre reum\u00e1tica es la causa m\u00e1s frecuente de cardiopat\u00eda adquirida en ni\u00f1os y adultos j\u00f3venes a nivel mundial, siendo  la principal causa de mortalidad cardiovascular en los pa\u00edses subdesarrollados.  la patolog\u00eda org\u00e1nica de la v\u00e1lvula tric\u00faspide es infrecuente. No existen estudios con un n\u00famero importante de pacientes que la padezcan, por lo que la historia natural de estos enfermos intervenidos quir\u00fargicamente es desconocida.  objetivos     analizar el tratamiento quir\u00fargico de elecci\u00f3n en la valvulopat\u00eda tricusp\u00eddea org\u00e1nica. Estudiar los factores predictivos de mortalidad hospitalaria, tard\u00eda y de necesidad de reintervenci\u00f3n. Estudiar el estado funcional a largo plazo de este grupo de pacientes.  material y m\u00e9todos     estudio retroscpectivo constituido por 328 pacientes con una alteraci\u00f3n org\u00e1nica de la v\u00e1lvula tric\u00faspide intervenidos quir\u00fargicamente. Se revisaron las historias cl\u00ednicas recogiendo variables de filiaci\u00f3n, epidemiol\u00f3gicas, hemodin\u00e1micas, quir\u00fargicas y postoperatorias. Se llev\u00f3 a cabo un seguimiento cl\u00ednico de los enfermos que abarc\u00f3 un periodo de 30 a\u00f1os. Se realiz\u00f3 un estudio estad\u00edstico univariante y multivariante para identificar los factores productivos de mortalidad hospitalaria, tard\u00eda y de necesidad de reoperaci\u00f3n. Se emple\u00f3 el m\u00e9todo actuarial para la elaboraci\u00f3n de curvas de supervivencia y del periodo libre de eventos a largo plazo.  resultados     el tratamiento quir\u00fargico de la valvulopat\u00eda tric\u00faspide org\u00e1nica de etiolog\u00eda reum\u00e1tica asocia de las v\u00e1lvulas izquierdas se puede realizar satisfactoriamente en la mayor\u00eda de los casos (90,5%) mediante t\u00e9cnicas reparadoras valvulares. Los resultados iniciales del estudio son  satisfactorios, con una mortalidad precoz del 7,6%. La mortalidad hospitalaria tras el recambio valvular tricusp<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento quir\u00fargico de la enfermedad tric\u00faspide org\u00e1nica: 30 a\u00f1os de experiencia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento quir\u00fargico de la enfermedad tric\u00faspide org\u00e1nica: 30 a\u00f1os de experiencia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Bego\u00f1a Diaz Diaz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/11\/2006<\/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:  Val Vernal Jos\u00e9 Fernando <\/li>\n<li>Jos\u00e9 Luis Vallejo Ruiz (vocal)<\/li>\n<li> Telles De Peralta Gabriel (vocal)<\/li>\n<li> Berrazueta Fernandez Jos\u00e9 Ram\u00f3n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bego\u00f1a Diaz Diaz Introducci\u00f3n la afectaci\u00f3n org\u00e1nica valvular tricusp\u00eddea es debida, en la mayor\u00eda de las ocasiones, [&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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