Publications by authors named "Yemmy Perez Valverde"
[Clamshell incision plus full sternotomy as a complex approach to complicated aortic arch aneurysm].
Arch Peru Cardiol Cir Cardiovasc
September 2022
Surgical treatment of aortic arch aneurysm is one of the greatest challenges of aortic surgery. We present a young woman with Marfan syndrome, severe Excavated Pectus and previous Bentall procedure, who underwent emergency surgery for ruptured aortic arch aneurysm. We achieved a successful approach through a Clamshell incision associated with a median re-sternotomy.
View Article and Find Full Text PDFAortic valve replacement through minithoracotomy. Results from the Peruvian experience.
Arch Peru Cardiol Cir Cardiovasc
June 2022
Objectives: To assess mortality, major valve-related events (MAVRE), and other complications in the perioperative period and follow up in patients with aortic valve replacement (AVR) through mini-thoracotomy (MT).
Methods: We retrospectively analyzed patients aged <80 who underwent AVR through MT between January 2017 and December 2021 in a national reference center in Lima, Peru. Patients undergoing other surgical approaches (mini-sternotomy, etc.
Objective: The study objective was to evaluate the safety and clinical and echocardiographic outcomes of a new surgical technique in adult patients diagnosed with a giant left atrium.
Methods: We analyzed a cohort of patients who underwent left atrium reduction surgery between January 2016 and June 2020 performed by a specialized surgical team in 2 national reference centers in Lima, Peru. We assessed the major adverse valvular-related events and the New York Heart Association functional class as primary clinical outcomes.
Article Synopsis
- Aortic valve reconstruction surgery (Ozaki procedure) is a promising alternative to traditional aortic valve replacement, showing good medium-term results in a study of 37 patients.
- Most patients had AV stenosis, primarily due to a bicuspid valve, and additional surgery was often required for related conditions.
- The procedure had a low in-hospital death rate, with significant improvements in aortic valve function and high survival rates during follow-up, indicating its effectiveness and safety.
Coronary artery fistulas are rare clinical entities and their association with giant coronary aneurysms is even more unusual. Most fistulas are asymptomatic, but aneurysms could develop symptoms depending on their diameter. We present a patient with chest pain and cardiac arrest, who later developed cardiac tamponade that needed emergency surgery, due to rupture of a giant coronary aneurysm developed from confluent coronary artery fistulas from two coronary arteries to pulmonary artery.
View Article and Find Full Text PDFArticle Synopsis
- CABG surgery using bilateral internal mammary arteries (BIMA) shows improved long-term survival rates in patients with multivessel coronary disease.
- A study conducted at INCOR, Peru, from 2012 to 2015 found that among 36 CABG patients, the 30-day mortality rate was 0% and major cardiovascular events occurred in only 5.56%.
- The results suggest that CABG with BIMA is a safe option with low risk of mortality and complications shortly after surgery, making it a viable choice for patients.