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Estenosis Aórtica Supravalvular Grave Tratada con Aortoplastia con Doble Parche: Reporte de un Caso
Birat Kadel1, Ashok Paudel2, Parbej Allam2
1Department of Cardiac Surgery Sahid Gangalal National Heart Center Kathmandu Nepal.
Clinical case reports
|January 26, 2026
Resumen
Un caso raro de estenosis aórtica supravalvular grave en una adolescente fue tratado con éxito mediante aortoplastia con doble parche. El diagnóstico temprano y la intervención quirúrgica a medida son cruciales para el manejo de cardiopatías congénitas complejas.
Área de la Ciencia:
- Cardiología
- Cardiología Pediátrica
- Cardiopatía Congénita
Sus antecedentes:
- La estenosis aórtica supravalvular grave es una afección rara pero crítica en pacientes jóvenes.
- El diagnóstico y la intervención tempranos son esenciales para el manejo de esta afección.
Objetivo del estudio:
- Informar sobre un caso de estenosis aórtica supravalvular grave en una niña de 15 años.
- Destacar la importancia del diagnóstico e intervención oportunos para las cardiopatías congénitas complejas.
Principales métodos:
- Se utilizaron ecocardiografía y tomografía computarizada multidetector (MDCT) para el diagnóstico.
- Se realizó una aortoplastia con doble parche para la intervención quirúrgica.
Principales resultados:
- La paciente presentó disnea de esfuerzo, dolor torácico y palpitaciones.
- La ecocardiografía y la MDCT confirmaron estenosis aórtica supravalvular grave, válvula mitral mixomatosa con insuficiencia mitral moderada a grave y fracción de eyección reducida.
- La aortoplastia con doble parche resultó en un resultado exitoso.
Conclusiones:
- Este caso resalta la importancia del diagnóstico temprano en el manejo de las cardiopatías congénitas.
- La intervención quirúrgica a medida y el seguimiento continuo son vitales para obtener resultados favorables en pacientes jóvenes con afecciones cardíacas complejas.
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