Documente Academic
Documente Profesional
Documente Cultură
Artica
Ricardo Poveda Jaramillo
Fellow Anestesia
Cardiovascular
Universidad CES
Anatoma
Componentes:
1. Anillo
2. Cspides (unin sinotubular)
3. Comisuras
. Otras caractersticas:
1. Ndulos de Arancio
2. Zonas/fenestraciones lunulares
Adquisicin de imgenes
Adquisicin de imgenes
Vista medioesofgica
Eje corto de vlvula a 45-60
Eje largo a 120
Multilatido (4-6)
Eje largo + eje corto = planimetra
Exhibir con cspide coronaria
derecha a las 6:00
Adquisicin de imgenes
Perspectiva artica:
morfologa valvular
Perspectiva ventricular:
tumores articos,
vegetaciones, obstrucciones
subvalvulares
Cuantificacin 3D
rea valvular
Mito: rea del TSVI es circular
Realidad: la seccin transversal del
TSVI es elptica
Estenosis
Etiologa
Mtodos de valoracin
Baumgartner H, Hung J, Bermejo J, Chambers JB, Evangelista A, Griffin BP, Iung B, Otto CM, Pellikka PA, Quiones M; EAE/ASE.
Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice.Eur J Echocardiogr. 2009 Jan;10(1):1-25. doi: 10.1093/ejechocard/jen303. Epub
2008 Dec 8. Review. Erratum in: Eur J Echocardiogr. 2009 May;10(3):479
Severidad
Severidad
Baumgartner H, Hung J, Bermejo J, Chambers JB, Evangelista A, Griffin BP, Iung B, Otto CM, Pellikka PA, Quiones M; EAE/ASE.
Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr. 2009 Jan;10(1):1-25. doi:
10.1093/ejechocard/jen303. Epub 2008 Dec 8. Review. Erratum in: Eur J Echocardiogr. 2009 May;10(3):479
Estadios clnicos
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Tas
k Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014 Oct
21;64(16):1763.
Estadios
Estadios
Recomendaciones de manejo en
estenosis artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on
Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014 Oct
21;64(16):1763.
Recomendaciones de manejo
en estenosis artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American He
art Association Task Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc
Surg. 2014 Oct 21;64(16):1763.
Recomendaciones de
manejo en estenosis artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart
Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/America
n Heart Association Task Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac
Cardiovasc Surg. 2014 Oct 21;64(16):1763.
Recomendaciones de
manejo en estenosis artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart
Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/America
n Heart Association Task Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac
Cardiovasc Surg. 2014 Oct 21;64(16):1763.
Intervencin transcatter o
ciruga
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Ass
ociation Task Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc
Surg. 2014 Oct 21;64(16):1763.
Intervencin transcatter o
ciruga
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association
Task Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014
Oct 21;64(16):1763.
Intervencin transcatter o
ciruga
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart
Association Task Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc
Surg. 2014 Oct 21;64(16):1763.
Indicaciones TAVR
Contraindicaciones TAVR
Insuficiencia
Mtodos de evaluacin
Severidad
Estadios de la insuficiencia
artica crnica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task F
orce on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014 Oct
21;64(16):1763.
Recomendaciones de intervencin
en insuficiencia artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force o
n Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014 Oct
21;64(16):1763.
Recomendaciones de intervencin
en insuficiencia artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force o
n Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014 Oct
21;64(16):1763.
Recomendaciones de
intervencin en insuficiencia
artica
Nishimura RA, et al. American College of Cardiology; American College of Cardiology/American Heart Association; American Heart Association.
2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Tas
k Force on Practice Guidelines.
J Thorac Cardiovasc Surg. 2014 Jul;148(1):e1-e132. doi: 10.1016/j.jtcvs.2014.05.014. Epub 2014 May 9. Review. Erratum in: J Thorac Cardiovasc Surg. 2014 Oct
21;64(16):1763.
Grazie