Publications by authors named "Victor Robles-Velarde"
[Grown-up congenital heart disease: a present and future challenge].
Arch Peru Cardiol Cir Cardiovasc
September 2023
[Right hemitruncus in adulthood: an unusual finding].
Arch Peru Cardiol Cir Cardiovasc
September 2023
Hemitruncus arteriosus is a rare congenital heart disease characterized by the abnormal origin of one of the branches of the pulmonary artery from the ascending aorta. In most cases, its diagnosis is made during childhood; in addition, due to its high morbidity and mortality, its asymptomatic evolution and survival to adulthood is extremely unusual. We present the case of a 30-year-old male patient, with a history of surgical closure of patent ductus arteriosus during childhood, who was asymptomatic until a year ago, in whom hemitruncus arteriosus was diagnosed after recurrent episodes of hemoptysis.
View Article and Find Full Text PDFendocarditis is a severe disease associated with high mortality rates. is frequently identified as the causative pathogen in intravenous drug users and is commonly associated with nosocomial infections, primarily due to its ability to form biofilms on catheters or other foreign bodies. Here, we present a rare case of endocarditis affecting the native tricuspid valve in a 35-year-old male patient with end-stage chronic kidney disease (Stage V), who had a suspected fungal infection related to the left cervical catheter.
View Article and Find Full Text PDFChallenges and Insights in endocarditis: a review of literature.
Arch Peru Cardiol Cir Cardiovasc
September 2023
Infective endocarditis is a serious disease associated with high mortality despite recent advances in diagnosis and treatment. is a fastidious Gram-negative member of the HACEK organisms ( spp., , , , and ).
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate the types of cardiac surgeries conducted at the National Cardiovascular Institute in Peru, focusing on operative mortality and complications within 30 days post-surgery.
- In 2022, there were 503 surgeries, with most patients being male; the most common procedures were isolated valvular surgeries (27%) and myocardial revascularization (21.9%), with an overall mortality rate of 4.5%.
- The study concluded that valvular surgeries were the most common, and the mortality rates, particularly for elective (2.8%) and emergency (14.3%) surgeries, were considered acceptable for the center's standards.
We present a 64-year-old woman who underwent mitral, aortic, and tricuspid valve (TV) replacement with mechanical prostheses. Two months after TV surgery, she presented third-degree atrioventricular block. After attempting to place a pacemaker lead through the coronary sinus, it was placed through the mechanical valve in the tricuspid position as the last option.
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- Pulmonary valve surgery in adults is rare but suggested when needed, typically involving prosthetic replacement.
- Mechanical prostheses pose risks related to blood clots and need for blood thinners, while biologic ones lack long-term durability.
- PV reconstruction surgery offers a promising alternative, avoiding anticoagulation and showing good durability, as demonstrated in four patients with severe valve issues.
Objective: To evaluate the epidemiological, clinical, surgical, pathological characteristics and outcomes in the follow-up of heart transplant recipients at the National Cardiovascular Institute during 2010-2020.
Material And Methods: A retrospective descriptive study was performed by reviewing the medical records of patients undergoing heart transplantation at a national referral center, describing the clinical, surgical, laboratory, pathology characteristics and survival of patients up to 10 years of follow-up.
Results: Eighty-six patients were transplanted in 10 years, the median age was 41 years (RIQ 28-56), being predominantly male (66.