Juan Pablo Umaña's research while affiliated with Fundación Cardioinfantil Instituto de Cardiologia and other places
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Publications (13)
Introduction
Given the anatomical variations of tetralogy of Fallot (TOF), different surgical techniques can be used to achieve correction. Transannular patches are the most commonly used technique; they are associated with right ventricular dysfunction, the incidence of which can be reduced through pulmonary valve preservation.
Methods
Between Ja...
Resumen
La disección aórtica aguda (DAA) es una emergencia cardiovascular con una mortalidad operatoria hasta del 30%. Se estima que cerca del 80% de los pacientes mueren antes de llegar a un hospital, y la mortalidad sin intervención quirúrgica alcanza el 60%. La optimización de estos resultados depende de un trabajo mancomunado entre los equipos...
Background
Risk factors and postoperative results of the Fontan operation in patients living at high altitude (> 2500 meters above sea level) in the Andean region remains unknown. Evaluate results and risk factor for immediate postoperative outcomes and short- and long-term functional class after Fontan.
Methods
From June 2003 to February 2019, 10...
Background: The lack of evidence on postoperative outcomes using mitral valve approaches leaves the choice to the surgeon’s preference, based on individual experience, speed, ease, and quality of exposure.
Methods: The present study analysed patients undergoing mitral valve surgery using a superior transseptal approach or a left-atrial approach bet...
Three-dimensional printing (3DP) has recently gained importance in the medical industry, especially in surgical specialties. It uses different techniques and materials based on patients’ needs, which allows bioprofessionals to design and develop unique pieces
using medical imaging provided by computed tomography (CT) and magnetic resonance imaging...
Impacto de la tromboendarterectomía pulmonar
Purpose:
The use of open hybrid stent graft systems (E-VITA) has become an excellent option for the treatment of complex aortic aneurysm and aortic dissections. However, its use in Latin America is unpopular and the established practice is to perform just an ascending aorta limited repair.
Methods:
Since February 2018, we began to use the E-VITA...
Purpose
Since minimally invasive mitral valve repair (Mini-MVr) technique was introduced, it has become a routine approach to mitral valve disease. However, surgeons from low-volume centers might be reluctant to adopt this technique due to the initial learning curve involved.
Methods
Between 2004 and 2017, 200 patients underwent a mitral valve rep...
Purpose :
This study shows how low-volume centers can achieve results in mitral valve repair (MVr) surgery comparable to those reported by referral centers. It compares outcomes of MVr using resection versus noresection techniques, tendencies, and rates of repair.
Methods:
Between 2004 and 2017, 200 patients underwent MVr for degenerative mitral va...
Abstract Poster Presentation
Surgical technique educational video.
https://www.ctsnet.org/article/video-assisted-minimally-invasive-mitral-valve-repair-periareolar-approach
Departmental Operations Procedure Manual.
Department of Adult Cardiovascular Surgery.
1st Edition.
Introducción: El reparo endovascular de la aorta torácica (REVAT) se ha incrementado en el mundo en los últimos años con relación al abierto.Objetivo: Comparar los resultados clínicos del REVAT frente al reparo abierto en la Fundación Cardio Infantil (Bogotá, Colombia) entre 2002 y 2011.Metodología: Análisis retrospectivo de la cohorte de pacientes...
Citations
... Theoretically, the relative hypoxemia induced by low partial pressure of inhaled oxygen that occurs with rising elevation could increase PVR and therefore increase the risk of Fontan failure [4,24,25]. As a result, it has become routine at some centers practicing at higher altitudes (including our own which sits at around 1604 m above sea-level) to place fenestrations in nearly all patients undergoing the procedure [26,27]. To date, there have been no prospective studies directly comparing outcomes between fenestrated and non-fenestrated patients at altitude. ...
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... The ability of 3D printing to streamline surgical procedures, reduce surgical time, and minimize invasiveness is valued by patients as it may result in shorter hospital stays, faster recovery, and reduced postoperative complications. Patient perceptions of the potential benefits, such as improved treatment outcomes, reduced pain, and enhanced functionality, contribute to their acceptance and willingness to undergo personalized interventions [136,137]. ...
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![[object Object]](https://i1.rgstatic.net/ii/profile.image/11431281112315195-1673386943529_Q64/Mariela-Vargas.jpg)
![[object Object]](https://i1.rgstatic.net/ii/profile.image/1051272669044736-1627654344289_Q64/Carlos-Helguero.jpg)
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... Conde et al. 8 evaluaron 54 pacientes y encontraron mejoría en la clase funcional y en la caminata de 6 minutos; adicionalmente, la mortalidad en otros estudios fue del 10% en un seguimiento a 1 año 9 . Por su parte, Figueredo et al. 5 evaluaron los resultados de 8 pacientes, en quienes se presentó diminución de la RVP y de la presión pulmonar media, y observaron que la saturación de oxígeno basal aumentó; la sobrevida en un estudio similar fue del 100% a los 24 meses de seguimiento 10 . ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/827526750416897-1574309160147_Q64/Albert-Guerrero.jpg)
... El seudoaneurisma postraumático de aorta torácica requiere ser llevado a tratamiento urgente dado el alto riesgo de rotura, la cual, en caso de darse, conlleva a la muerte a la mayoría de los pacientes. Desde el punto de vista terapéutico existe la opción de manejo quirúrgico o endovascular y, con base en la evidencia actual, ambas opciones son válidas y se asocian a una incidencia similar de reintervención, eventos cerebrovasculares y mortalidad a largo plazo, existiendo evidencia que favorece el manejo endovascular con relación a una menor estancia hospitalaria (incluyendo menor estancia en unidad de cuidado intensivo), así como menor incidencia de paraplejía y complicaciones renales y pulmonares 9 . No obstante, ante cada caso en particular, la elección de la técnica a realizar va a depender de las condiciones específicas de cada paciente y la experiencia y recursos del centro en donde el mismo vaya a ser atendido. ...
