Publication: Circulación univentricular. Estudio de los factores pronósticos de la evolución clínica y estudio comparativo de la evolución postoperatoria de los pacientes con o sin hipertensión pulmonar
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2021-07-09
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Universidad Complutense de Madrid
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Abstract
La operación de Fontan es la cirugía que culmina la fisiología del corazón univentricular. Los pacientes en esta situación son portadores de diversos tipos de cardiopatías congénitas graves no reparables.
Los objetivos de este trabajo son analizar los factores que determinan la evolución postoperatoria y la mortalidad de los pacientes sometidos a cirugía de Fontan, evaluar si la presencia de hipertensión pulmonar previa a la cirugía de Fontan condiciona la evolución postoperatoria y la mortalidad a medio-largo plazo, y estudiar si el tratamiento con vasodilatadores pulmonares en estos pacientes modifica la evolución postoperatoria inmediata y la mortalidad a largo plazo...
Fontan operation is the final palliative procedure in patients with univentricular heart. Patients in this situation are carriers of various types of serious non-repairable congenital heart disease. The aim of this study is to analyze the factors that can influence in the postoperative evolution and mortality of patients undergoing Fontan surgery, to evaluate whether the presence of pulmonary hypertension (PH) determines the postoperative evolution and the mortality in the medium-long term after the Fontan surgery, and to study if the vasodilator therapy before modified Fontan operation in patients with PH is an independent predictor of the postoperative outcome and longterm mortality in patients after Fontan operation...
Fontan operation is the final palliative procedure in patients with univentricular heart. Patients in this situation are carriers of various types of serious non-repairable congenital heart disease. The aim of this study is to analyze the factors that can influence in the postoperative evolution and mortality of patients undergoing Fontan surgery, to evaluate whether the presence of pulmonary hypertension (PH) determines the postoperative evolution and the mortality in the medium-long term after the Fontan surgery, and to study if the vasodilator therapy before modified Fontan operation in patients with PH is an independent predictor of the postoperative outcome and longterm mortality in patients after Fontan operation...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 28/01/2021