Saenz-de-Buruaga, J.D. (J. D.)
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- Falso aneurisma aórtico 30 años después de la corrección de una coartación: tratamiento quirúrgico bajo hipotermia profunda(Ediciones Universidad de Navarra, 2014) Lopez-Coronado, J.L. (José Luis); Saenz-de-Buruaga, J.D. (J. D.); Martinez-Caro, D. (Diego); Martin-Trenor, A. (Alejandro)We report a case of a large false aortic aneurysm that had developed in a 43-year-old man who had had coarctation repair 30 years previously. The coarctation repair had been done by inserting an end-to-end Dacron tubular graft which was sutured with silk. The re-operation was successfully performed under deep hypothermic arrest and it was noted that there was complete separation of the graft from both ends and no sutures were visualised. The deep hypothermic technique has considerably improved the ease and safety of this operation. We attribute this complication to the reabsorption of the silk sutures. Patients after coarctectomy with graft material should have regular chest X-rays for life in order to detect false aneurysm
- Endocarditis por Listeria monocytogenes sobre bioprótesis de Hancock(Elsevier España, 1988) Saenz-de-Buruaga, J.D. (J. D.); Castello, R. (R.); Aparici, M. (M.); Martin-Trenor, A. (Alejandro); Peteiro, J. (J.); Frades, M. (M.); Hidalgo, R. (R.)
- Comunicación entre la arteria coronaria derecha y la aurícula derecha(Universidad de Navarra, 1979) Saenz-de-Buruaga, J.D. (J. D.); Arcas, R. (R.); Alegria, E. (Eduardo); Alonso, A. (A.); Martinez-Caro, D. (Diego); Martin-Trenor, A. (Alejandro)Two cases of anomalous communication of the right coronary artery with the right atrium (the so-called coronary artery fistula) are presented. Both were young females in which a continuous murmur was heard during routine examination. The x-ray image was typical, with a huge bulge in the right border similar to that seen in cases of right atrium enlargement. The ECG was normal in both patients. The diagnosis was made during cardiac catheterization and angiocardiography. A slight left-to-right shunt was present and the aneurismatic dilatation of right coronary artery and communication with the right atrium could be documented. In both cases a surgical closure of the defect was performed, both being well after two years and eight months respectively.
- Nuevas estrategias en prevención cardiovascular(Ediciones Universidad de Navarra, 2005) Saenz-de-Buruaga, J.D. (J. D.); Fernandez-Jarne, E. (E.); Alegria, E. (Eduardo); Moreno, J. (J.); Cordero, A. (Alberto)Cardiovascular diseases, especially coronary heart disease, are the leading cause of mortality in Spain and western countries. The prevention of complications is based on a cardiovascular risk stratification that is based on the presence of classical cardiovascular risk factors. There are many scales for cardiovascular risk stratification that classify subjects into low, intermediate or high risk. Despite the fact that the impact and treatment of risk factors are well known, their control remains poor. Obesity, diabetes, and hypertension seems also seem to be increasing trends due to the changes in lifestyles and nutritional habits of our communities. In recent decades some new, or emerging, cardiovascular risk factors have been identified that can improve the stratification of cardiovascular risk: C-reactive protein, homocysteine, and lipoprotein a. The metabolic syndrome is an association of cardiovascular risk factors that cluster in the same subject because they share a physiopathologic link: insulin resistance. Its presence is related to most cardiovascular risk factors, classical or emerging, especially obesity, hypertension, and C-reactive protein. On the other hand, detection of subclinical or incipient atherosclerosis, especially with the measurement of intima-media thickness, offers indirect information closely related to coronary atherosclerosis that improves the stratification of subjects at intermediate risk.