Browsing by Author "Valdés E., Francisco"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Results of the surgical management of abdominal aortic eurysms in 80 patients over 80 years of age
    (2003) Valdés E., Francisco; Bergoeing Reid, Michel Paul; Kramer, Albrecht; Mertens Martin, Renato; Canessa, Roberto; Lema F., Guillermo; Garayar Pulgar, Bernardita; Urzua Urzua, Jorge
    Background: Abdominal aortic aneurysms (AAA) may be lethal unless appropriately and timely treated. Since age is a surgical risk, octogenarians are usually not considered as candidates for surgical intervention. Aim: To asses surgical complications and mortality in octogenarians treated for AAA. Subjects and Methods: Patients aged 80 years older, treated consecutively between 1984-2001 were retrospectively analyzed. Results: Sixty one patients were male, and their age ranged from 80 to 95 years. All were treated with open surgery. The operation was elective in 58 and as an emergency in 22 patients (symptomatic or ruptured AAA). Aortic diameter was 6.8+/-1.4 cm in asymptomatic patients and 7.7+/-1.8 cm in emergency cases (p=0.024). Thirty days postoperative mortality was 5.1% in elective surgery compared to 40.6% in emergency operations (p < 0.01). Five years survival rate was 44.7% in asymptomatic patients compared to 10.4% in the emergency cases (p < 0.023). Conclusions: Elective surgery for asymptomatic AAA can be performed with low operative mortality in octogenarians. However, surgery in emergency cases has an 8 fold increase in risk. Accordingly, octogenarian patients should be considered for elective AAA repair in a selective basis.
  • Thumbnail Image
    Item
    Three Cases of Intracardiac Leiomyomatosis with Very Long-term Follow-up
    (Korean Society for Vascular Surgery, 2024) González Urquijo, Mauricio; Valdés E., Francisco; Mertens Martin, Renato; Mariné M., Leopoldo; Vargas Serrano, José Francisco; Bergoeing Reid, Michel Paul
    Uterine intravascular leiomyomatosis (IVL) with extension into the right heart is uncommon, with no more than 400 cases reported in the literature since 1907. The present study aims to report three patients with intracardiac IVL surgically treated in our institution, with long-term follow-up. Three female patients in their third to fifth decades of life, with a history of difficult hysterectomy due to extensive myomatosis, presented with symptoms of right-sided heart failure. Echocardiography and computed tomography were performed, where IVL extending from the pelvis into the right heart was observed. All three patients underwent a one-stage operation under extracorporeal circulation through a right auriculotomy and inferior vena cavotomy, accessed via a sterno-laparotomy. The tumors were extirpated without complications, with ligation of the vena cava or iliac vein. The patients at 10-, 13-, and 37-year follow-up were well and alive with mild lower extremities symptoms.