Aneurisma de aorta torácica

En el espectro de patológica aortica, enfermedad aneurismática es una entidad que se encuentra dentro de las primeras 20 causas de muerte en adultos en estados unidos, pero la historia natural de la enfermedad constituye un verdadero reto diagnóstico y terapéutico, por cuanto una gran parte de la en...

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Autores:
Ashton Izquierdo, Jorge Mario
Quiroz Rodríguez, Damián Arnoldo
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2016
Institución:
Universidad Libre
Repositorio:
RIU - Repositorio Institucional UniLibre
Idioma:
spa
OAI Identifier:
oai:repository.unilibre.edu.co:10901/10225
Acceso en línea:
https://hdl.handle.net/10901/10225
Palabra clave:
Aneurismas
Aorta torácica
Medicina
Aorta, Thoracic
Aortic Aneurysm
ANEURISMA AORTICO
ENFERMEDADES DE LA AORTA
Aneurisma de la Aorta
Aorta Torácica
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openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id RULIBRE2_6db32c49df7a8d7997872783627445dc
oai_identifier_str oai:repository.unilibre.edu.co:10901/10225
network_acronym_str RULIBRE2
network_name_str RIU - Repositorio Institucional UniLibre
repository_id_str
dc.title.spa.fl_str_mv Aneurisma de aorta torácica
title Aneurisma de aorta torácica
spellingShingle Aneurisma de aorta torácica
Aneurismas
Aorta torácica
Medicina
Aorta, Thoracic
Aortic Aneurysm
ANEURISMA AORTICO
ENFERMEDADES DE LA AORTA
Aneurisma de la Aorta
Aorta Torácica
title_short Aneurisma de aorta torácica
title_full Aneurisma de aorta torácica
title_fullStr Aneurisma de aorta torácica
title_full_unstemmed Aneurisma de aorta torácica
title_sort Aneurisma de aorta torácica
dc.creator.fl_str_mv Ashton Izquierdo, Jorge Mario
Quiroz Rodríguez, Damián Arnoldo
dc.contributor.advisor.none.fl_str_mv Iglesias Acosta, Jesús
dc.contributor.author.none.fl_str_mv Ashton Izquierdo, Jorge Mario
Quiroz Rodríguez, Damián Arnoldo
dc.subject.spa.fl_str_mv Aneurismas
Aorta torácica
Medicina
topic Aneurismas
Aorta torácica
Medicina
Aorta, Thoracic
Aortic Aneurysm
ANEURISMA AORTICO
ENFERMEDADES DE LA AORTA
Aneurisma de la Aorta
Aorta Torácica
dc.subject.subjectenglish.eng.fl_str_mv Aorta, Thoracic
Aortic Aneurysm
dc.subject.lemb.spa.fl_str_mv ANEURISMA AORTICO
ENFERMEDADES DE LA AORTA
dc.subject.proposal.spa.fl_str_mv Aneurisma de la Aorta
Aorta Torácica
description En el espectro de patológica aortica, enfermedad aneurismática es una entidad que se encuentra dentro de las primeras 20 causas de muerte en adultos en estados unidos, pero la historia natural de la enfermedad constituye un verdadero reto diagnóstico y terapéutico, por cuanto una gran parte de la enfermedad es silente y en gran medida asintomática, y su curso natural sin tratamiento se asocia a mortalidad extremadamente alta. Los aneurismas de la aorta torácica corresponden a una dilatación patológica de la pared del vaso como resultado de una debilidad en el tejido que la conforma. En este proceso intervienen diversos factores tanto inflamatorios, metabólicos, genéticos y físicos. Es la interacción de todos estos factores lo que determina el curso de la enfermedad; pero pese a los diversos frentes que juegan en la fisiopatología las repercusiones sistémicas clínicamente evidentes son pocas por lo que la progresión de la enfermedad suele ser con escasas a nulas manifestaciones clínicas y en muchos casos el debut de la patología suele ser suponer un gran riesgo para la vida del paciente. Es por esto que el desarrollo de técnicas de imágenes ha abierto un nuevo universo de conocimiento de la enfermedad, permitiendo conocer los cambios fisiopatológicos y documentar la progresión de esta; este punto permitió documentar con detalle la anatomía de las lesiones y su estrecha relación con las estructuras vecinas permitiendo la planeación quirúrgica; El detalle logrado con la evolución de las técnicas de imágenes permitieron el desarrollo de alternativas terapéuticas y con este el éxito terapéutico. Históricamente el abordaje terapéutico supuso una morbimortalidad elevada por cuanto existían limitaciones técnicas para los reparos abiertos y el golpe hemodinámico era tal que limito enormemente el resultado quirúrgico. Esto llevo a una gran búsqueda de alternativas para el manejo que derivaron en una revolución que buscaba mejorar el resultado. Esto se logró con el desarrollo técnico endovascular que ofrecieron una alternativa con mejores resultados. En la actualidad el manejo endovascular es la punta de lanza para el manejo de los aneurismas de la aorta toracoabdominal. Con estas técnicas se ha logrado mejorar sustancialmente los resultados en morbimortalidad y se amplió el espectro de lesiones tratables, ofreciendo a los pacientes una variedad de alternativas. Las técnicamente mínimamente invasivas rompieron con paradigmas que rodeaban el manejo de la patología aneurismática, con ayuda de los progresos en estudios imagenlógicos la caracterización de las lesiones se detalló aún más y permitió el conocimiento a fondo de la historia natural de la enfermedad permitiendo así elaborar estrategias de manejo. El desarrollo de toda una industria detrás de materiales y dispositivos permitió también que los avances se consolidaran hasta ocupar el nivel de importancia que hoy vemos. Es por eso que hoy en día los reparos endovasculares de aneurismas de aorta toracoabdominal confieren tasas de éxito por cuanto el impacto fisiológico de las intervenciones se disminuyó de manera abismal, lo que se ven reflejado en un margen de seguridad razonable para el paciente, la disminución sustancial de la morbimortalidad, la ampliación del espectro tratable de la enfermedad.
publishDate 2016
dc.date.created.none.fl_str_mv 2016
dc.date.accessioned.none.fl_str_mv 2017-07-25T20:30:12Z
dc.date.available.none.fl_str_mv 2017-07-25T20:30:12Z
dc.type.local.spa.fl_str_mv Tesis de Especialización
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/bachelorThesis
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status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10901/10225
dc.identifier.instname.spa.fl_str_mv instname:Universidad Libre
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Libre
url https://hdl.handle.net/10901/10225
identifier_str_mv instname:Universidad Libre
reponame:Repositorio Institucional Universidad Libre
dc.language.iso.none.fl_str_mv spa
language spa
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spelling Iglesias Acosta, JesúsAshton Izquierdo, Jorge MarioQuiroz Rodríguez, Damián ArnoldoBarranquilla2017-07-25T20:30:12Z2017-07-25T20:30:12Z2016https://hdl.handle.net/10901/10225instname:Universidad Librereponame:Repositorio Institucional Universidad LibreEn el espectro de patológica aortica, enfermedad aneurismática es una entidad que se encuentra dentro de las primeras 20 causas de muerte en adultos en estados unidos, pero la historia natural de la enfermedad constituye un verdadero reto diagnóstico y terapéutico, por cuanto una gran parte de la enfermedad es silente y en gran medida asintomática, y su curso natural sin tratamiento se asocia a mortalidad extremadamente alta. Los aneurismas de la aorta torácica corresponden a una dilatación patológica de la pared del vaso como resultado de una debilidad en el tejido que la conforma. En este proceso intervienen diversos factores tanto inflamatorios, metabólicos, genéticos y físicos. Es la interacción de todos estos factores lo que determina el curso de la enfermedad; pero pese a los diversos frentes que juegan en la fisiopatología las repercusiones sistémicas clínicamente evidentes son pocas por lo que la progresión de la enfermedad suele ser con escasas a nulas manifestaciones clínicas y en muchos casos el debut de la patología suele ser suponer un gran riesgo para la vida del paciente. Es por esto que el desarrollo de técnicas de imágenes ha abierto un nuevo universo de conocimiento de la enfermedad, permitiendo conocer los cambios fisiopatológicos y documentar la progresión de esta; este punto permitió documentar con detalle la anatomía de las lesiones y su estrecha relación con las estructuras vecinas permitiendo la planeación quirúrgica; El detalle logrado con la evolución de las técnicas de imágenes permitieron el desarrollo de alternativas terapéuticas y con este el éxito terapéutico. Históricamente el abordaje terapéutico supuso una morbimortalidad elevada por cuanto existían limitaciones técnicas para los reparos abiertos y el golpe hemodinámico era tal que limito enormemente el resultado quirúrgico. Esto llevo a una gran búsqueda de alternativas para el manejo que derivaron en una revolución que buscaba mejorar el resultado. Esto se logró con el desarrollo técnico endovascular que ofrecieron una alternativa con mejores resultados. En la actualidad el manejo endovascular es la punta de lanza para el manejo de los aneurismas de la aorta toracoabdominal. Con estas técnicas se ha logrado mejorar sustancialmente los resultados en morbimortalidad y se amplió el espectro de lesiones tratables, ofreciendo a los pacientes una variedad de alternativas. Las técnicamente mínimamente invasivas rompieron con paradigmas que rodeaban el manejo de la patología aneurismática, con ayuda de los progresos en estudios imagenlógicos la caracterización de las lesiones se detalló aún más y permitió el conocimiento a fondo de la historia natural de la enfermedad permitiendo así elaborar estrategias de manejo. El desarrollo de toda una industria detrás de materiales y dispositivos permitió también que los avances se consolidaran hasta ocupar el nivel de importancia que hoy vemos. Es por eso que hoy en día los reparos endovasculares de aneurismas de aorta toracoabdominal confieren tasas de éxito por cuanto el impacto fisiológico de las intervenciones se disminuyó de manera abismal, lo que se ven reflejado en un margen de seguridad razonable para el paciente, la disminución sustancial de la morbimortalidad, la ampliación del espectro tratable de la enfermedad.PDFapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Atribución-NoComercial-SinDerivadas 2.5 Colombiainfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2AneurismasAorta torácicaMedicinaAorta, ThoracicAortic AneurysmANEURISMA AORTICOENFERMEDADES DE LA AORTAAneurisma de la AortaAorta TorácicaAneurisma de aorta torácicaTesis de Especializacióninfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisBickerstaff LK PPHLMLVPHCKJJLJ. Thoracic aortic aneurysms: a populationbased study. 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Rev Col Bras. 2012; Cir 39:4–9.ORIGINALANEURISMA AORTA TORACICA.pdfANEURISMA AORTA TORACICA.pdfTrabajo de Gradoapplication/pdf774986http://repository.unilibre.edu.co/bitstream/10901/10225/1/ANEURISMA%20AORTA%20TORACICA.pdf41eef34b6e14ec5d29aa2ae6bfbeafd0MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repository.unilibre.edu.co/bitstream/10901/10225/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52THUMBNAILANEURISMA AORTA TORACICA.pdf.jpgANEURISMA AORTA TORACICA.pdf.jpgIM Thumbnailimage/jpeg3953http://repository.unilibre.edu.co/bitstream/10901/10225/3/ANEURISMA%20AORTA%20TORACICA.pdf.jpg862ce26e67b212f8d2a2d0a4b22f59fbMD5310901/10225oai:repository.unilibre.edu.co:10901/102252022-10-11 12:08:25.555Repositorio Institucional Unilibrerepositorio@unilibrebog.edu.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