José Antonio Blázquez
Hospital Universitario La Paz
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Archivos De Bronconeumologia | 2009
José Antonio Blázquez; Pilar Escribano; Enrique Pérez; María Jesús López; Miguel Ángel Gómez; José Cortina
Abstract Background and objectives Pulmonary thromboendarterectomy (PTE) is considered the potential curative treatment for chronic thromboembolic pulmonary hypertension (CTEPH). We analysed the results of the PTE application in our institution. Patients and methods From February 1996 to December 2007, 30 patients with CTEPH underwent videoassisted PTE. Preoperative hemodynamic data were: systolic pulmonary artery pressure (SPAP) 87±17 mmHg, mean pulmonary artery pressure (MPAP) 51±11 mmHg, pulmonary total resistance 1067±485 dynes·s·cm−5, pulmonary vascular resistance 873±389 dynes·s·cm−5 and cardiac index 2.2±0.5 l/min/m2. We analysed the influence of several factors on hospital mortality and survival, and we performed partial analysis of mortality since 2004. Results PTE resulted in significant improvements in SPAP (P Conclusions PTE effectively reduces pulmonary hypertension and offers CTEPH patients a substantial improvement in survival and quality of life.
Archivos De Bronconeumologia | 2009
José Antonio Blázquez; Pilar Escribano; Enrique Pérez; María Jesús López; Miguel Ángel Gómez; José Cortina
BACKGROUND AND OBJECTIVES Pulmonary thromboendarterectomy (PTE) is considered the potential curative treatment for chronic thromboembolic pulmonary hypertension (CTEPH). We analysed the results of the PTE application in our institution. PATIENTS AND METHODS From February 1996 to December 2007, 30 patients with CTEPH underwent video-assisted PTE. Preoperative hemodynamic data were: systolic pulmonary artery pressure (SPAP) 87+/-17mmHg, mean pulmonary artery pressure (MPAP) 51+/-11mmHg, pulmonary total resistance 1067+/-485dynes x s x cm(-5), pulmonary vascular resistance 873+/-389dynes x s x cm(-5) and cardiac index 2.2+/-0.5l/min/m(2). We analysed the influence of several factors on hospital mortality and survival, and we performed partial analysis of mortality since 2004. RESULTS PTE resulted in significant improvements in SPAP (P<0.001), MPAP (P=0.001) and cardiac index (P<0.001). Hospital mortality was 17% (5/30) (95% confidence interval, 6%-35%). From 2004, it dropped to 5% (1/20) (95% confidence interval, 0%-25%). Hospital mortality was influenced by preoperative pulmonary total resistance, preoperative pulmonary vascular resistance, postoperative SPAP, reduction of SPAP, reduction of MPAP, reperfusion pulmonary oedema and residual postoperative pulmonary hypertension (P=0.036; P=0.018;P=0.013; P=0.050; P=0.050; P=0.030; P=0.045). Survival after PTE, including hospital mortality, was 76+/-9% at 10 years. Through long-term follow-up, functional status (P=0.001), 6min walking distance (P=0.001), end-diastolic right ventricle size (P<0.001), and tricuspid regurgitation (P<0.001) significantly improved. CONCLUSIONS PTE effectively reduces pulmonary hypertension and offers CTEPH patients a substantial improvement in survival and quality of life.
Revista Espanola De Cardiologia | 2008
Carlos Martín; Alberto Forteza; Enrique Pérez; María José López; Jorge Centeno; José Antonio Blázquez; Javier de Diego; Diana Hernández García; José Cortina
INTRODUCTION AND OBJECTIVES To describe our experience with acute type-A aortic dissection surgery, including an analysis of the effect of cerebral protection on outcome. METHODS Between March 1990 and October 2007, 98 consecutive patients underwent surgery for acute type-A aortic dissection. Of these, 85 had an ascending aorta replacement, while the entire arch was replaced in 13. The aortic valve was replaced in 34 patients but preserved in the rest. An intimal tear was observed in 83 patients. RESULTS The in-hospital mortality rate was 15%. Risk factors for in-hospital mortality were age > or = 70 years and preoperative cardiogenic shock (P< .05). Antegrade cerebral perfusion was used in the last 16 consecutive patients, whose in-hospital mortality rate was 6%. The proportions of patients who survived and who did not require reoperation at 1, 5 and 10 years of follow-up were 98.6%+/-1.3%, 86.2%+/-4.6% and 68.2%+/-8.9%, and 97.2%+/-1.9%, 82.5%+/-4.8% and 55.9%+/-7.9% for the two outcomes, respectively. The risk factors for reoperation were found to be severe preoperative aortic regurgitation and preservation of the aortic valve (P< .05). The only risk factor for late mortality was not using antegrade cerebral perfusion (P< .05). CONCLUSIONS Despite its seriousness, surgery for acute aortic dissection produces good early and long-term results. Antegrade cerebral perfusion improves the prognosis of these patients and should be the technique of choice for cerebral protection.
Revista Espanola De Cardiologia | 2008
Carlos Martín; Alberto Forteza; Enrique Pérez; María José Bosque López; Jorge Centeno; José Antonio Blázquez; Javier de Diego; Diana Hernández García; José Cortina
Introduccion y objetivos El objetivo de este estudio retrospectivo es mostrar nuestra experiencia en la cirugia de la diseccion aortica aguda tipo A y analizar la influencia de la proteccion cerebral en nuestros resultados. Metodos Entre marzo de 1990 y octubre de 2007, 98 pacientes consecutivos fueron intervenidos por diseccion aortica aguda tipo A. En 85 pacientes se reemplazo la aorta ascendente, que en 13 se extendio al arco aortico. La valvula aortica fue sustituida en 34 pacientes y se preservo en el resto. La rotura intimal pudo identificarse en 83 pacientes. Resultados La mortalidad hospitalaria fue del 15%. Los factores de riesgo de mortalidad hospitalaria fueron la edad ≥ 70 anos y el shock cardiogenico preoperatorio (p Conclusiones Pese a su extrema gravedad, la cirugia de la diseccion aortica aguda presenta unos buenos resultados a corto y largo plazo. La perfusion cerebral anterograda mejora el pronostico de estos pacientes y esta recomendada como metodo de proteccion cerebral de eleccion.
Revista Colombiana de Cardiología | 2017
L. Sartor; Ulises Ramírez Valdiris; José Antonio Blázquez; Omar Al Razzo; José María Mesa García
Introduction Surgical intervention of active infective endocarditis with multiple abscesses and destruction of the intervalvular fibrous body represents a technically demanding procedure with a difficult postoperative management. The experience is presented with an original technique for radical resection and subsequent reconstruction using bovine pericardium.
Revista Colombiana de Cardiología | 2017
L. Sartor; Ulises Ramírez Valdiris; José Antonio Blázquez; Omar Al Razzo; José María Mesa García
Introduction Surgical intervention of active infective endocarditis with multiple abscesses and destruction of the intervalvular fibrous body represents a technically demanding procedure with a difficult postoperative management. The experience is presented with an original technique for radical resection and subsequent reconstruction using bovine pericardium.
Cirugía Cardiovascular | 2012
José Antonio Blázquez; R. Sánchez; U. Ramírez; Esperanza González; Omar Al Razzo; J. Silvestre; L. Sartor; A. Hurtado; José M. Mesa
Objetivos La angiografia coronaria no invasiva mediante tomografia computarizada (ACTC) ha sido validada para descartar la presencia de enfermedad coronaria (EC) en pacientes que van a ser sometidos a cirugia cardiaca no coronaria. Analizamos la rentabilidad en nuestra institucion de la realizacion de ACTC para descartar la existencia de EC asociada en pacientes que van a ser sometidos a cirugia cardiaca no coronaria. Material y metodos Entre el 1 de enero de 2011 – 31 de diciembre de 2011, se realizo coronariografia no invasiva mediante angiotomografia computarizada (angio-TC) de 64 de-tectores para descartar EC en 98 pacientes que iban a ser sometidos a cirugia cardiaca no coronaria. En los pacientes en que la ACTC no pudo descartar la existencia de EC, se realizo coronariografia invasiva convencional. La ACTC se realizo de forma ambulatoria, y su coste efectivo fue 5,5 veces inferior al de la coronariografia invasiva (199 vs 1.061 €). Resultados En el 35% de los pacientes (34/98) la ACTC no descarto la existencia de EC significativa y se preciso la realizacion de coronariografia convencional. La coronariografia invasiva confirmo EC significativa en 17 pacientes (valor predictivo positivo de la ACTC 50%). El coste efectivo de la valoracion preoperatoria de EC en nuestra serie fue 55.576 € (98 ACTC y 34 coronariografias invasivas). Conclusiones La valoracion preoperatoria de EC mediante ACTC redujo las estancias hospitalarias preoperatorias y el coste efectivo en 48.402 € (47%) con respecto a la realizacion sistematica de la coronariografia invasiva convencional preoperatoria en pacientes candidatos a cirugia cardiaca no coronaria.
Cirugía Cardiovascular | 2012
L. Sartor; R. Sánchez Pérez; A. Hurtado; José Antonio Blázquez; Esperanza González; U. Ramírez; José M. Mesa
Objetivo Evaluar de forma retrospectiva los resultados de la cirugia cardiaca en pacientes mayores de 80 anos intervenidos desde el 1 de enero de 2006 – 1 de enero de 2012 y compararlos con los pacientes menores de 80 anos. Pacientes y metodos Analizamos la mortalidad hospitalaria, la incidencia de complicaciones postoperatorias, la supervivencia a 1 ano y los factores asociados a estas de 1.416 pacientes consecutivos sometidos a cirugia: 112 octogenarios entre 80–88 anos (grupo I) y 1.304 menores de 80 anos (grupo II). Resultados Ambos grupos fueron homogeneos. Hubo diferencias en la mortalidad (I, 12,5%; II, 7,9%). No hubo diferencias en la incidencia de complicaciones postoperatorias (I, 24,1%; II, 21,9%). La supervivencia a 1 ano fue del 81,25% (I) y el 90,57% (II). El EuroSCORE aditivo y la insuficiencia renal cronica (IRC) se asociaron a una mayor mortalidad en ambos grupos. Conclusiones La cirugia cardiaca en octogenarios seleccionados ofrece resultados aceptables comparados con pacientes menos anosos, con una buena supervivencia y calidad de vida a corto plazo.
Cirugía Cardiovascular | 2016
Evaristo Castedo; Paloma Martínez Cabeza; Enrique Pérez de la Sota; Fabrizio Sbraga; María Luz Polo; José María Arribas; Javier López Rodríguez; Laura Fernández; Yolanda Carrascal; Fernando Reguillo; Lucía Doñate; María Ángeles Castel; Tomasa Centella; José Antonio Blázquez; Manuel Ruiz; Luis Ricci; Dani Padrol; Manel Castellá; Ángel L. Fernández
Global heart | 2015
Omar Al Razzo; José Antonio Blázquez; José M. Mesa