Aneurisma de la aorta abdominal: controversias y tendencias en su diagnóstico y manejo

  • Jairo Ramírez Hospital Universitario Fundación Santa Fe
  • Marcos E. Pozo Universidad de los Andes
Palabras clave: aneurisma de la aorta abdominal, técnicas de diagnóstico cardiovascular, procedimientos quirúrgicos vasculares

Resumen

Los aneurismas de aorta abdominal son una altera- ción frecuente en poblaciones con edad mayor de 65 años. Si se tiene en cuenta que la mayoría de los casos son asintomáticos, esta condición debería ser tamizada en todo paciente con factores de riesgo.

Su tratamiento se fundamenta en el riesgo de rup- tura y la mortalidad asociada. El abordaje qui- rúrgico está indicado siempre que el paciente presente síntomas o complicaciones asociadas (embolia distal, efecto compresivo en estructuras adyacentes) o cuando el diámetro del aneurisma supere los 5,5 cm. Las opciones de manejo con- sisten en un abordaje convencional (vía abierta) o en un abordaje intravascular. La decisión debe basarse en un proceso individualizado en el que se consideren las enfermedades concomitantes, las preferencias del paciente y la experiencia del equipo médico.

Con este objetivo, se revisará el conocimiento actual respecto al manejo de aneurismas menores de 5,5 cm de diámetro, y las nuevas tendencias en cuanto a terapias farmacológicas y a modificaciones del estilo de vida, que han probado ser protectoras.

El artículo incluye una revisión de la literatura y la presentación de un caso clínico.

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Biografía del autor/a

Jairo Ramírez, Hospital Universitario Fundación Santa Fe

Cirujano vascular periférico, Departamento de Cirugía, Hospital Universitario Fundación Santa Fe, Bogotá, D.C., Colombia.

Marcos E. Pozo, Universidad de los Andes

Estudiante, Facultad de Medicina, Universidad de los Andes, Bogotá, D.C., Colombia.

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Publicado
2010-10-01
Cómo citar
(1)
Ramírez, J.; Pozo, M. E. Aneurisma De La Aorta Abdominal: Controversias Y Tendencias En Su diagnóstico Y Manejo. Rev Colomb Cir 2010, 25, 323-331.
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