Revista: | Revista mexicana de cardiología |
Base de datos: | PERIÓDICA |
Número de sistema: | 000371683 |
ISSN: | 0188-2198 |
Autores: | Domínguez Díaz, Angel Ernesto1 Cerrud Sánchez, Carmen Emma1 Alva Espinosa, Carlos1 David Gómez, Felipe1 Yáñez Gutiérrez, Lucelli1 López Gallegos, Diana1 |
Instituciones: | 1Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, México, Distrito Federal. México |
Año: | 2013 |
Periodo: | Oct-Dic |
Volumen: | 24 |
Número: | 4 |
Paginación: | 184-188 |
País: | México |
Idioma: | Español |
Tipo de documento: | Estadística o encuesta |
Enfoque: | Caso clínico |
Resumen en español | seguimiento a largo plazo de aquellos pacientes que presentan aorta bivalva dado que hasta en un 30% de los casos pueden desarrollar complicaciones |
Resumen en inglés | Objective: To evaluate by a prospective, observational and cross study the incidence of bicuspid aorta valve and associated aortic disease in the echocardiography laboratory. Material and methods: We analyzed all the consecutive patients studied by echocardiography from the 1st of September 2009 to January 14, 2011, in search of bicuspid aortic bivalve and its associations. Results: A total of 2,750 studies were made in this period of time. In 72 (2.6%) was not possible to specify clearly the number of valves. There were detected 137 patients with bicuspid aortic (4.9%). The age average was 13.27 years ± 9.64, median 11 years, 81 were men (59.1%), 56 women (40.9%), 14 (10.2%) were otherwise structurally normal heart. It was found that 99 (72.3%) had aortic disease-related injuries: 50 (36.5%) had aortic coarctation, 22 (16.1%) double aortic lesion, 10 (7.3%) subaortic stenosis, 9 (6.6%) aortic stenosis, 1 (0.7%) dilation of aortic root aneurysm with aortic coarctation, 2 (1.5%) no significant expansion of the root aortic, 3 (2.2%) aortic regurgitation, 1 (0.7%) interrupted aortic arch, 1 (0.7%) developed endocarditis a in 24 cases (17.5%) with bicuspid aortic lesions were not related to aortic disease. Conclusions: The bicuspid aorta in an echocardiography lab is relatively frequent: 4.9% in this work. In patients with structurally normal heart bicuspid aorta were found in 0.5% of the population. The presence of bicuspid aorta was associated with significant injury to herself or with other lesions of the left outflow tract in 3.6% of cases. The aortic dilatation and aortic coarctation was present in 0.7% patients. The presence of bacterial endocarditis associated with bicuspid aortic found in 0.7%. It is important to the long-term monitoring of those patients with bicuspid aortic as much as 30% of cases can develop complications |
Disciplinas: | Medicina |
Palabras clave: | Diagnóstico, Sistema cardiovascular, Aorta bicúspide, Cardiopatías congénitas, Coartación de la aorta, Ecocardiografía, Complicaciones |
Keyword: | Medicine, Cardiovascular system, Diagnosis, Bicuspid aorta, Congenital cardiopathies, Aortic coarctation, Echocardiography, Complications |
Texto completo: | Texto completo (Ver HTML) |