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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Correcci&#243;n desde 1998 de 10 pacientes afectados de una estenosis a&#243;rtica supravalvular&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El diagn&#243;stico se realiz&#243; con ecocardiograf&#237;a y resonancia magn&#233;tica&#46; Siete ten&#237;an un s&#237;ndrome de Williams-Beuren&#44; confirm&#225;ndose en 5 una deleci&#243;n del cromosoma 7&#46; Cinco ten&#237;an obstrucci&#243;n de tipo membranosa y otros 5 &#8220;en reloj de arena&#8220;&#46; Para el primer grupo se aplic&#243; una resecci&#243;n y aortoplastia con parche en l&#225;grima&#44; y en el segundo grupo aortoplastia con parche en Y invertida con liberaci&#243;n de ostium coronario en 2 casos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No existi&#243; mortalidad en ning&#250;n grupo&#44; reduci&#233;ndose el gradiente de 60 &#177; 8 a 5 &#177; 1 mmHg &#40;rango 0 14&#41;&#46; La estancia no fue superior a 7 &#177; 1 d&#237;as&#46; El seguimiento medio fue de 58 &#177; 8 meses &#40;2-120&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Todos los pacientes se encuentran en grado functional I-II de la NYHA&#46; En los controles ecocardiogr&#225;ficos ning&#250;n paciente super&#243; los 15 mmHg&#44; no precisando reintervenci&#243;n&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Surgical correction for 10 supravalvular aortic stenosissince 1988&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Diagnosis was carried out by means of echocardiography and magnetic resonance&#46; Seven patients showed features of Williams-Beuren syndrome&#44; 5 patients showed in their genotype a delection of 7-chromosome&#46; 5 showed membranous-localized type obstruction and the other 5 with hourglass type&#46; The patients in the first group underwent circumferential resection of the stenosis ring followed by a diamond- shaped patch and the second group were treated with resection of the stenosing ring associated with an inverted Y- shaped patch with releasing of the coronary ostia in two of them&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There was no hospital death&#46; The gradient was substantially reduced from 60 &#177; 8 to 5 &#177; 1 mm Hg &#40;range 0-14&#41;&#46; The average staying was under 7 &#177; 1 days&#46; The average follow- up was 58 &#177; 8 months &#40;2-120&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Postoperatively&#44; all the patients were in NYHA class III&#46; The residual gradient was less than 15 mmHg in the echocardiography study during the follow-up and none of them required an additional operation&#46;</p>"
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Tratamiento quirúrgico de la estenosis aórtica supravalvular
Supravalvular aortic stenosis surgical treatment
G. Aldamiz Echevarríaa, P. Martínez Corralesa, J. Aramendi Gallardoa, A. Llorente Urcullua, D. Rodrigo Carbonerob, A. Cabrera Durob,*
a Servicios de Cirugía Cardíaca
b Servicios de Cardiología Pediátrica. Hospital Infantil Cruces. Baracaldo. Vizcaya
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Correcci&#243;n desde 1998 de 10 pacientes afectados de una estenosis a&#243;rtica supravalvular&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El diagn&#243;stico se realiz&#243; con ecocardiograf&#237;a y resonancia magn&#233;tica&#46; Siete ten&#237;an un s&#237;ndrome de Williams-Beuren&#44; confirm&#225;ndose en 5 una deleci&#243;n del cromosoma 7&#46; Cinco ten&#237;an obstrucci&#243;n de tipo membranosa y otros 5 &#8220;en reloj de arena&#8220;&#46; Para el primer grupo se aplic&#243; una resecci&#243;n y aortoplastia con parche en l&#225;grima&#44; y en el segundo grupo aortoplastia con parche en Y invertida con liberaci&#243;n de ostium coronario en 2 casos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No existi&#243; mortalidad en ning&#250;n grupo&#44; reduci&#233;ndose el gradiente de 60 &#177; 8 a 5 &#177; 1 mmHg &#40;rango 0 14&#41;&#46; La estancia no fue superior a 7 &#177; 1 d&#237;as&#46; El seguimiento medio fue de 58 &#177; 8 meses &#40;2-120&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Todos los pacientes se encuentran en grado functional I-II de la NYHA&#46; En los controles ecocardiogr&#225;ficos ning&#250;n paciente super&#243; los 15 mmHg&#44; no precisando reintervenci&#243;n&#46;</p>"
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Información del artículo
ISSN: 16954033
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2017 Diciembre 9 0 9
2017 Noviembre 12 0 12
2017 Octubre 9 0 9
2017 Septiembre 13 0 13
2017 Agosto 3 0 3
2017 Julio 11 0 11
2017 Junio 15 4 19
2017 Mayo 15 10 25
2017 Abril 10 18 28
2017 Marzo 9 0 9
2017 Febrero 7 3 10
2017 Enero 7 2 9
2016 Diciembre 29 6 35
2016 Noviembre 43 5 48
2016 Octubre 38 5 43
2016 Septiembre 36 4 40
2016 Agosto 16 3 19
2016 Julio 13 3 16
2016 Abril 1 0 1
2016 Febrero 1 0 1
2015 Diciembre 2 0 2
2015 Agosto 4 0 4
2015 Julio 19 0 19
2015 Junio 9 0 9
2015 Mayo 18 0 18
2015 Abril 18 0 18
2015 Marzo 17 0 17
2015 Febrero 12 0 12
2015 Enero 18 0 18
2014 Diciembre 14 2 16
2014 Noviembre 6 0 6
2014 Octubre 8 0 8
2014 Septiembre 7 0 7
2014 Agosto 9 0 9
2014 Julio 13 0 13
2014 Junio 15 0 15
2014 Mayo 16 2 18
2014 Abril 10 1 11
2014 Marzo 12 5 17
2014 Febrero 9 7 16
2014 Enero 13 7 20
2013 Diciembre 24 12 36
2013 Noviembre 12 11 23
2013 Octubre 23 6 29
2013 Septiembre 19 16 35
2013 Agosto 18 5 23
2013 Julio 6 4 10
2013 Junio 4 7 11
2013 Mayo 5 2 7
2013 Abril 5 2 7
2013 Marzo 9 3 12
2013 Febrero 33 7 40
2013 Enero 31 1 32
2012 Diciembre 23 1 24
2012 Noviembre 20 2 22
2012 Octubre 21 1 22
2012 Septiembre 6 1 7
2000 Marzo 1110 0 1110
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