Conexión venosa pulmonar anómala total doble
Double total anomalous pulmonary venous connection
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"apellidos" => "Tamariz-Martel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:4 [ "nombre" => "M." "apellidos" => "Cazzaniga" "email" => array:1 [ 0 => "marcazza@inicia.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 3 => array:3 [ "nombre" => "J.L." "apellidos" => "Vázquez Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "F." "apellidos" => "Villagrá Blanco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cardiología Pediátrica. Hospital Ramón y Cajal. Madrid." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Cuidados Intensivos Pediátricos y Cardiovasculares. Hospital Ramón y Cajal. Madrid." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cirugía Cardiovascular Infantil. Hospital Ramón y Cajal. Madrid." "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio Cardiología Pediátrica. Hospital Ramón y Cajal.Ctra. Colmenar Viejo, km 9,100. 28034 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Double total anomalous pulmonary venous connection" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-08-31" "fechaAceptado" => "2000-10-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186632" "palabras" => array:2 [ 0 => "Conexión venosa pulmonar anómala" 1 => "Isomerismo auricular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186633" "palabras" => array:2 [ 0 => "Total anomalous pulmonary venous connection" 1 => "Right atrial isomerism" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un recién nacido con isomerismo auricular derecho, cardiopatía congénita compleja y conexión venosa pulmonar anómala total doble asociada que había sido diagnosticado fiablemente con ecocardiografía Doppler bidimensional en color. Seguimiento clinic en un neonato tratado con prostaglandina desde las 24 h de vida hasta su deceso postoperatorio. La cianosis y el soplo cardíaco que evolucionó a distrés respiratorio conforman el marco clínico de un recién nacido varón sin antecedentes obstétricos relevantes. La ecocardiografía emostró situs indeterminado, hipoplasia severa de ventrículo izquierdo, atresia pulmonar y conducto arterioso permeable. Las venas pulmonares se reunían en un collector posterior a la aurícula única, del que ascendía una vena emisaria vertical que conecta con un saco aneurismático. De éste emergen dos vasos venosos: uno hacia vena innominada y otro que conectaba con el techo auricular. El cateterismo cardíaco confirmó la malformación y el enfermo es remitido a cirugía al sexto día de vida, realizándose anastomosis del colector venoso a la aurícula única, implante de una fístula tipo Blalock-Taussig modificada y el cierre del conducto arterioso; el enfermo falleció en la sala operatoria. La asociación de malformación compleja intracardíaca y conexión venosa pulmonar anómala total obstructiva en el contexto de heterotaxia visceroauricular derecha es letal y pocos son los supervivientes con cirugía correctora neonatal. La ecocardiografía Doppler en color es fiable para el diagnóstico y supone una guía indispensable para dirigir el estudio angiográfico.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">W e present a newborn infant with right atrial isomerism, complex congenital heart malformation and anomalous pulmonary venous connection, reliably diagnosed by 2-D Doppler color echocardiography. The infant had no significant obstetric antecedents. The neonatal clinical picture included cyanosis, heart murmur and respiratory distress. The infant was treated with prostaglandin fro m the age of 24 hours until his death after surgery. The 2-D echo Doppler color flow mapping showed findings that suggested right atrial isomerism, severe left ventricular hypoplasia, pulmonary atresia and ductus arteriosus. The pulmonary veins flowed together to a posterior cardiac chamber from which an emissary vertical venous vessel connected with a left superior aneurysmal sack. Two venous channels emerged from this sack: one connecting to the innominate vein and the other to the atrium. The malformations were confirmed by cardiac catheterization. On the sixth day of life, the patient underwent anastomosis between the posterior venous chamber with the atrium, a modified Blalock-Taussig shunt implant, and ductus closure but died during surgery. The association between complex cardiac anomalies and uncommon obstructive total anomalous pulmonary venous connection in the context of right atrial isomerism is lethal and few neonates survive surgical repair.Tw o-dimensional echo color flow Doppler is a reliable diagnostic technique and an indispensable guide in angiography.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management and outcomes of right atrial isomerism:a 26 year experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Hashmi" 1 => "Abu-Sulaiman" 2 => "B. Mc Crindle" 3 => "J. Smallhorn" 4 => "W. Williams" 5 => "R. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 9 | 12 | 21 |
| 2024 Octubre | 91 | 86 | 177 |
| 2024 Septiembre | 84 | 62 | 146 |
| 2024 Agosto | 95 | 112 | 207 |
| 2024 Julio | 66 | 50 | 116 |
| 2024 Junio | 75 | 68 | 143 |
| 2024 Mayo | 69 | 67 | 136 |
| 2024 Abril | 84 | 54 | 138 |
| 2024 Marzo | 71 | 63 | 134 |
| 2024 Febrero | 63 | 46 | 109 |
| 2024 Enero | 78 | 53 | 131 |
| 2023 Diciembre | 100 | 63 | 163 |
| 2023 Noviembre | 93 | 77 | 170 |
| 2023 Octubre | 113 | 74 | 187 |
| 2023 Septiembre | 90 | 72 | 162 |
| 2023 Agosto | 48 | 65 | 113 |
| 2023 Julio | 70 | 57 | 127 |
| 2023 Junio | 70 | 49 | 119 |
| 2023 Mayo | 79 | 30 | 109 |
| 2023 Abril | 49 | 22 | 71 |
| 2023 Marzo | 57 | 27 | 84 |
| 2023 Febrero | 49 | 22 | 71 |
| 2023 Enero | 51 | 25 | 76 |
| 2022 Diciembre | 73 | 28 | 101 |
| 2022 Noviembre | 81 | 36 | 117 |
| 2022 Octubre | 66 | 61 | 127 |
| 2022 Septiembre | 62 | 48 | 110 |
| 2022 Agosto | 98 | 55 | 153 |
| 2022 Julio | 54 | 43 | 97 |
| 2022 Junio | 52 | 30 | 82 |
| 2022 Mayo | 90 | 48 | 138 |
| 2022 Abril | 131 | 56 | 187 |
| 2022 Marzo | 129 | 65 | 194 |
| 2022 Febrero | 57 | 33 | 90 |
| 2022 Enero | 89 | 56 | 145 |
| 2021 Diciembre | 80 | 39 | 119 |
| 2021 Noviembre | 68 | 53 | 121 |
| 2021 Octubre | 82 | 52 | 134 |
| 2021 Septiembre | 73 | 76 | 149 |
| 2021 Agosto | 94 | 40 | 134 |
| 2021 Julio | 56 | 49 | 105 |
| 2021 Junio | 76 | 56 | 132 |
| 2021 Mayo | 68 | 48 | 116 |
| 2021 Abril | 124 | 88 | 212 |
| 2021 Marzo | 128 | 38 | 166 |
| 2021 Febrero | 87 | 52 | 139 |
| 2021 Enero | 70 | 37 | 107 |
| 2020 Diciembre | 71 | 31 | 102 |
| 2020 Noviembre | 66 | 20 | 86 |
| 2020 Octubre | 61 | 28 | 89 |
| 2020 Septiembre | 45 | 42 | 87 |
| 2020 Agosto | 40 | 48 | 88 |
| 2020 Julio | 59 | 60 | 119 |
| 2020 Junio | 46 | 68 | 114 |
| 2020 Mayo | 45 | 63 | 108 |
| 2020 Abril | 39 | 26 | 65 |
| 2020 Marzo | 27 | 20 | 47 |
| 2020 Febrero | 55 | 34 | 89 |
| 2020 Enero | 59 | 22 | 81 |
| 2019 Diciembre | 38 | 32 | 70 |
| 2019 Noviembre | 27 | 16 | 43 |
| 2019 Octubre | 47 | 20 | 67 |
| 2019 Septiembre | 61 | 35 | 96 |
| 2019 Agosto | 33 | 22 | 55 |
| 2019 Julio | 54 | 36 | 90 |
| 2019 Junio | 88 | 33 | 121 |
| 2019 Mayo | 188 | 51 | 239 |
| 2019 Abril | 153 | 40 | 193 |
| 2019 Marzo | 62 | 16 | 78 |
| 2019 Febrero | 77 | 28 | 105 |
| 2019 Enero | 53 | 17 | 70 |
| 2018 Diciembre | 41 | 23 | 64 |
| 2018 Noviembre | 80 | 26 | 106 |
| 2018 Octubre | 94 | 31 | 125 |
| 2018 Septiembre | 24 | 12 | 36 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Junio | 2 | 0 | 2 |
| 2018 Mayo | 6 | 0 | 6 |
| 2018 Abril | 18 | 0 | 18 |
| 2018 Marzo | 14 | 0 | 14 |
| 2018 Febrero | 12 | 0 | 12 |
| 2018 Enero | 7 | 0 | 7 |
| 2017 Diciembre | 7 | 0 | 7 |
| 2017 Noviembre | 8 | 0 | 8 |
| 2017 Octubre | 7 | 0 | 7 |
| 2017 Septiembre | 17 | 0 | 17 |
| 2017 Agosto | 11 | 0 | 11 |
| 2017 Julio | 11 | 0 | 11 |
| 2017 Junio | 23 | 20 | 43 |
| 2017 Mayo | 19 | 35 | 54 |
| 2017 Abril | 9 | 18 | 27 |
| 2017 Marzo | 16 | 13 | 29 |
| 2017 Febrero | 8 | 7 | 15 |
| 2017 Enero | 7 | 10 | 17 |
| 2016 Diciembre | 15 | 8 | 23 |
| 2016 Noviembre | 36 | 13 | 49 |
| 2016 Octubre | 46 | 14 | 60 |
| 2016 Septiembre | 33 | 28 | 61 |
| 2016 Agosto | 58 | 36 | 94 |
| 2016 Julio | 24 | 32 | 56 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 4 | 0 | 4 |
| 2016 Enero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 3 | 0 | 3 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 4 | 44 | 48 |
| 2015 Julio | 9 | 0 | 9 |
| 2015 Junio | 11 | 0 | 11 |
| 2015 Mayo | 19 | 0 | 19 |
| 2015 Abril | 19 | 0 | 19 |
| 2015 Marzo | 15 | 0 | 15 |
| 2015 Febrero | 14 | 0 | 14 |
| 2015 Enero | 27 | 2 | 29 |
| 2014 Diciembre | 10 | 2 | 12 |
| 2014 Noviembre | 13 | 1 | 14 |
| 2014 Octubre | 16 | 0 | 16 |
| 2014 Septiembre | 18 | 3 | 21 |
| 2014 Agosto | 22 | 2 | 24 |
| 2014 Julio | 31 | 1 | 32 |
| 2014 Junio | 67 | 2 | 69 |
| 2014 Mayo | 67 | 3 | 70 |
| 2014 Abril | 39 | 3 | 42 |
| 2014 Marzo | 52 | 10 | 62 |
| 2014 Febrero | 58 | 11 | 69 |
| 2014 Enero | 43 | 6 | 49 |
| 2013 Diciembre | 46 | 13 | 59 |
| 2013 Noviembre | 39 | 5 | 44 |
| 2013 Octubre | 52 | 23 | 75 |
| 2013 Septiembre | 56 | 13 | 69 |
| 2013 Agosto | 42 | 22 | 64 |
| 2013 Julio | 30 | 12 | 42 |
| 2013 Junio | 3 | 6 | 9 |
| 2013 Mayo | 2 | 2 | 4 |
| 2013 Abril | 3 | 2 | 5 |
| 2013 Marzo | 11 | 6 | 17 |
| 2013 Febrero | 20 | 5 | 25 |
| 2013 Enero | 9 | 3 | 12 |
| 2012 Diciembre | 3 | 3 | 6 |
| 2012 Noviembre | 4 | 4 | 8 |
| 2012 Octubre | 2 | 0 | 2 |
| 2012 Septiembre | 5 | 1 | 6 |
| 2012 Agosto | 3 | 2 | 5 |
| 2001 Marzo | 2939 | 0 | 2939 |
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