{"id":81030,"date":"2018-03-10T00:04:53","date_gmt":"2018-03-10T00:04:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/modificaciones-de-la-funcion-pulmonar-tras-la-valvulotomia-mitral-percutanea\/"},"modified":"2018-03-10T00:04:53","modified_gmt":"2018-03-10T00:04:53","slug":"modificaciones-de-la-funcion-pulmonar-tras-la-valvulotomia-mitral-percutanea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/modificaciones-de-la-funcion-pulmonar-tras-la-valvulotomia-mitral-percutanea\/","title":{"rendered":"Modificaciones de la funcion pulmonar tras la valvulotomia mitral percutanea"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joan Antoni Gomez Hospital <\/strong><\/h2>\n<p>La estenosis mitral es una enfermedad cr\u00f3nica reumatica que se caracteriza por una elevacion de la presion en el interior de la aur\u00edcula izquierda que pasivamente se transmite al circuito vascular pulmonar cuando uno de los sintomas limitantes de la enfermedad que es la d\u00edsnea. Se ha practicado un estudio que analiza la evoluci\u00f3n del area mitral mediante ecocardiografia, la funci\u00f3n pulmonar mediante pruebas funcionales respiratorias (volumenes pulmonares estaticos, espirometria y difusion pulmonar) y la capacidad de esfuerzo test de esfuerzo en cinta sinf\u00edn antes y despues (inmediato, 1 mes y 3,6 y 12 meses) de la practica de una valvulotom\u00eda mitral percut\u00e1nea (vmp) efectiva. La vmp ha causado un descenso inmediato de la presion auricular izquierda, un descenso del gradiante transmitral y un incremento del area mitral, que se ha mantenido durante todo el seguimiento. Basalmente, la funci\u00f3n pulmonar ha mostrado una limitacion del flujo a nivel de las vias areas de peque\u00f1o calibre y un incremento de la capacidad de difusi\u00f3n, sugestivo de una situaci\u00f3n de congesti\u00f3n pulmonar. Inmediatamente tras la vmp se ha producido una descongesti\u00f3n aguda, detectada por un descenso de la capacidad de difusi\u00f3n pulmonar hasta valores normales, no modificandose la alteracion del flujo en las vias areas de peque\u00f1o calibre. Durante el seguimiento a largo plazo, la capacidad de difusi\u00f3n ha vuelto a elevarsey seha mantenido la limitaci\u00f3n del flujo por las vias aereas de peque\u00f1o calibre, a pesar del beneficio hemodinamico mantenido. La capacidad de esfuerzo ha mostrado un incremento, progresivo hasta el control realizado a seis meses y posteriormente se ha mantenido en el control al a\u00f1o.  en conclusi\u00f3n, a pesar de un buen resultado de la vmp y del beneficio hemodinamico mantenido, persisten alteraciones a nivel de las pruebas de funci\u00f3n respiratoria, por lo ueen pacientes con estenosis mitral moderada-severa poco sintom\u00e1ticos, la detecci\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Modificaciones de la funcion pulmonar tras la valvulotomia mitral percutanea<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Modificaciones de la funcion pulmonar tras la valvulotomia mitral percutanea <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joan Antoni Gomez Hospital <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/10\/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 Cequier Fillat<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: enrique Domingo ribas <\/li>\n<li> Sabate de la cruz xavier (vocal)<\/li>\n<li>carles Creixells figueras (vocal)<\/li>\n<li> Romero colomer pablo vicente (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joan Antoni Gomez Hospital La estenosis mitral es una enfermedad cr\u00f3nica reumatica que se caracteriza por una [&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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