{"id":85736,"date":"2000-07-07T00:00:00","date_gmt":"2000-07-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cirugia-reparadora-de-la-valvula-tricuspide-con-anuloplastia-de-sutura\/"},"modified":"2000-07-07T00:00:00","modified_gmt":"2000-07-07T00:00:00","slug":"cirugia-reparadora-de-la-valvula-tricuspide-con-anuloplastia-de-sutura","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cirugia-reparadora-de-la-valvula-tricuspide-con-anuloplastia-de-sutura\/","title":{"rendered":"Cirugia reparadora de la valvula tricuspide con anuloplastia de sutura."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Guti\u00e9rrez Morlote <\/strong><\/h2>\n<p>La valvulopat\u00eda tric\u00faspide es una entidad caracaterizada por su elevada mortalidad y por agravar el pron\u00f3stico de las valvulopat\u00edas izquierdas a las que suele acompa\u00f1ar. El descenso en la incidencia de la fiebre reum\u00e1tica en los paises desarrolaldos, la necesidad de contar con medios modernos para su correcto diagn\u00f3sitco y tratamiento, y la conveniencia de evaluar per\u00edodos largos de evoluci\u00f3n cl\u00ednica, son otras tantas dificulatades para su estudio.  las anuloplastias de sutura se han demostrado, en estudios previos, tan eficaces como las anuloplastias con anillo. En el presente trabajo se revisa la evoluci\u00f3n de 232 pacientes intervenidos a lo largo de 11 a\u00f1os y a quines se practic\u00f3 anuloplastia de de vega o anuloplastia segmentaria. se valoraron datos cl\u00ednicos, ecocardiograma pre y psotoperatorio, datos quir\u00fargicos y datos postoperatorios. La insuficiencia renal (or: 13,37), la sustituci\u00f3n de las v\u00e1lvulas mitral y\/o a\u00f3rtica por biopr\u00f3tesis (or:5,83), y la utilizaci\u00f3n inotr\u00f3picos en quir\u00f3fano (or:7) constituyeron, en un an\u00e1lisis multivariable, los factores de reisgo de mortalidad hospitalaria. La edad inferior a 60 a\u00f1os (or:3,35), la fracci\u00f3nde eyecci\u00f3n menor del 50% (or: 2,37) y el grado funcional iv (or: 2,14) se relacioanron con un mayor riesgo de moratlidad tard\u00eda.  no hubo diferencias significativas entre las dos t\u00e9cnicas estudiadas ni en la mortalidad hospitalaria (8,1%), ni en la mortalidad tard\u00eda (25,3%), ni en la mortalidad golbal (31,4%), ni en la supervivencia actuarial, ni enla curva actuarial libre de reoperaci\u00f3n por causa valvular  o la curva libre de complciaciones realcionadas con la v\u00e1lvula.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia reparadora de la valvula tricuspide con anuloplastia de sutura.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia reparadora de la valvula tricuspide con anuloplastia de sutura. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Guti\u00e9rrez Morlote <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/07\/2000<\/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: atilano Sanchez gonzalez <\/li>\n<li>Jos\u00e9 lu\u00eds Pomar moya-prats (vocal)<\/li>\n<li>gines Sanz romero (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Guti\u00e9rrez Morlote La valvulopat\u00eda tric\u00faspide es una entidad caracaterizada por su elevada mortalidad y por agravar [&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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