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Dilatación intraluminal de la estenosis aórtica crítica y de la coartación de aorta neonatal
Transluminal dilatation for critical aortic stenosis and coarctation of the aorta in a newborn infant
F. Benito Bartolomé*
Sección de Hemodinámica. Hospital Materno-Infantil La Paz. Madrid
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        "resumen" => "<span class="elsevierStyleSectionTitle">Resumen</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un reci&#233;n nacido ingresado a los 20 d&#237;as de vida por insuficiencia card&#237;aca congestiva gra-ve&#46; El ecocardiograma revel&#243; hipertrofia ventricular iz-quierda con estenosis valvular a&#243;rtica cr&#237;tica y coartaci&#243;n de aorta severa&#46; El di&#225;metro del anillo valvular era de 5&#44;2 mm&#46; En el cateterismo se obtuvo un gradientevalvular de 104 mmHg y de 58 mmHg a trav&#233;s de la coartaci&#243;n&#44; que ten&#237;a un di&#225;metro de 1&#44;4 mm&#46;La aorta transversa y el ist-mo presentaban hipoplasia moderada&#46; Tras dos procedi-mientos de dilataci&#243;n consecutivos&#44;con un intervalo de mes y medio&#44; el gradiente valvular se redujo a 32 mmHg y el de la coartaci&#243;n a 14 mmHg y sdi&#225;metro se incre-ment&#243; a 5&#44;4 mm&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present a 20-day-old male infant with severe con-gestive heart failur&#46;Echocardiography showed left ven-tricular hypertrophy secondary to critical aortic valve stenosis and severe coarctatio of the aorta&#46; The size of aortic annulus valve was 5&#46;2 mm&#46; At catheterization&#44; the gradient of aortic valve stenosis was 104 mmHgand the gradient through aortic coarctation&#44; measuring 14 mm in diameter&#44; was 58 mmHg&#46; Transverse and isthmic aorta showedmoderate hypoplasia&#46; After two dilatation pro-cedures performed at an interval of 45 days&#44; the pressure valve gradient decreased to 32 mmHg&#44; that of the coarc-tation of the aorta decreased to 14 mmHg and the diame-ter increased to 5&#46;4 mm&#46;</p>"
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Información del artículo
ISSN: 16954033
Idioma original: Español
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