Parra-Bravo JR, Girón-Vargas AL, Trejo-Carbajal H

Idioma: Español
Referencias bibliográficas: 26
Paginas: 128 - 133
Archivo PDF: 550.25 Kb.

RESUMEN

El Glenn bidireccional es una técnica quirúrgica empleada habitualmente en enfermos portadores de cardiopatías congénitas complejas. La estenosis en el sitio de unión del Glenn bidireccional (anastomosis cavo-pulmonar superior) es relativamente infrecuente. Su corrección es posible mediante cateterismo cardiaco. Una fístula sistémico-pulmonar puede dejarse permeable, como una fuente accesoria de flujo sanguíneo pulmonar. Presentamos la experiencia en el tratamiento simultáneo de ambas lesiones mediante angioplastia con balón de la estenosis de la rama pulmonar derecha y cierre de fístula sistémico-pulmonar derecha con una espiral, ambos procedimientos exitosos y sin complicaciones. El cateterismo intervencionista debe considerarse como el tratamiento de elección en la estenosis de ramas pulmonares y como una excelente alternativa en casos seleccionados de fístula sistémico- pulmonar permeable, ya que la morbilidad del procedimiento es mínima.

REFERENCIAS (EN ESTE ARTÍCULO)

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