{"id":1809,"date":"2023-02-15T05:45:31","date_gmt":"2023-02-15T05:45:31","guid":{"rendered":"https:\/\/heartlaboratoryuba.net\/?page_id=1809"},"modified":"2023-02-15T05:45:31","modified_gmt":"2023-02-15T05:45:31","slug":"1809-2","status":"publish","type":"page","link":"https:\/\/heartlaboratoryuba.net\/index.php\/1809-2\/","title":{"rendered":""},"content":{"rendered":"\n<h2 class=\"has-text-align-center has-ast-global-color-0-color has-text-color wp-block-heading\">BYPASS CORONARIO:<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/1-bypass-a-diagonal-1-768x1024.jpg\" alt=\"\" class=\"wp-image-1810\" srcset=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/1-bypass-a-diagonal-1-768x1024.jpg 768w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/1-bypass-a-diagonal-1-225x300.jpg 225w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/1-bypass-a-diagonal-1-1152x1536.jpg 1152w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/1-bypass-a-diagonal-1-1536x2048.jpg 1536w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/1-bypass-a-diagonal-1-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">FOTO 1: Vista superior desde el anestesi\u00f3logo.<br>Se observa la estrategia de bypass coronario con circulaci\u00f3n extracorp\u00f3rea, en donde se utliza para inmovilizar el campo suturas (stay sutures) de seda 2-0 que pasan por el septum y se\u00f1aladas con flechas blancas. Esta forma poco usual, inofensiva y altamente eficaz deja un campo quir\u00fargico absolutamente estable, quieto y las manos de los asistentes disponibles para ayudar en la delicada anastomosis coronaria.<br>Los asteriscos (*) se\u00f1alan a la a\u00fan no anastomosada arteria descendente anterior, as\u00ed como el \u00f3valo color verde se\u00f1ala a un bypass venoso a la arteria diagonal.<br><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/2-suturas-para-exponer-el-vaso-y-anastomosis-768x1024.jpg\" alt=\"\" class=\"wp-image-1811\" srcset=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/2-suturas-para-exponer-el-vaso-y-anastomosis-768x1024.jpg 768w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/2-suturas-para-exponer-el-vaso-y-anastomosis-225x300.jpg 225w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/2-suturas-para-exponer-el-vaso-y-anastomosis-1152x1536.jpg 1152w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/2-suturas-para-exponer-el-vaso-y-anastomosis-1536x2048.jpg 1536w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/2-suturas-para-exponer-el-vaso-y-anastomosis-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">FOTO 2: BYPASS CON ARTERIOPLASTIA A LA DESCENDENTE ANTERIOR.<br><br>Vista desde la cabeza del paciente. Se ha abierto en forma amplia a la arteria descendnte anterior, enmarcada entre los asteriscos negros (*). Habitualmente la apertura no debe superar 1.5 veces el di\u00e1metro del vaso, mas en esta ocasi\u00f3n se realiz\u00f3 una apertura amplia del vaso a efectos de realizar una revascularizaci\u00f3n perfecta. En el \u00f3valo se aprecia -en detalle y en general- a la arteria mamaria interna abierta y expuesta para su sutura.<br><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/bypasss.png\" alt=\"\" class=\"wp-image-1812\" width=\"428\" height=\"577\" srcset=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/bypasss.png 276w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/bypasss-223x300.png 223w\" sizes=\"auto, (max-width: 428px) 100vw, 428px\" \/><figcaption class=\"wp-element-caption\">FOTO 3:<br>La misma fotograf\u00eda que en 2, solo que sin referencias. Puede aumentar para observar detalle.<br><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"810\" height=\"1024\" src=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-810x1024.jpg\" alt=\"\" class=\"wp-image-1813\" srcset=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-810x1024.jpg 810w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-237x300.jpg 237w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-768x971.jpg 768w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-1214x1536.jpg 1214w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-1619x2048.jpg 1619w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/4-terminacion-de-bypass-mamario-scaled.jpg 2024w\" sizes=\"auto, (max-width: 810px) 100vw, 810px\" \/><figcaption class=\"wp-element-caption\">FOTO 4: Terminaci\u00f3n del bypass coronario.<br>la arteria mamaria interna (mammary artery bypass) se\u00f1alada con flechas se halla suturada a la arteria descendente anterior casi en su totalidad.<br><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/5-proximales-con-clamp-parcial-768x1024.jpg\" alt=\"\" class=\"wp-image-1814\" srcset=\"https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/5-proximales-con-clamp-parcial-768x1024.jpg 768w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/5-proximales-con-clamp-parcial-225x300.jpg 225w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/5-proximales-con-clamp-parcial-1152x1536.jpg 1152w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/5-proximales-con-clamp-parcial-1536x2048.jpg 1536w, https:\/\/heartlaboratoryuba.net\/wp-content\/uploads\/2023\/02\/5-proximales-con-clamp-parcial-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">FOTO 5, DEBE AUMENTAR LA FOTO PARA SEGUIR LA EXPLICACI\u00d3N:\u00a0<br>Proximales en la aorta ascendente. Un clamp lateral ocluye en forma parcial la aorta ascendente. Se observa claramente la c\u00e1nula a\u00f3rtica (roja) y la venosa (m\u00e1s oscura) en la aorta ascendente y el atrio derecho. El clamp parcial as\u00ed colocado sirve para realizar una anastomosis exang\u00fbe.<br>En (1) la anastomosis en s\u00ed. Ahora aumente y siga en (2) y el \u00f3valo verde el trayecto del bypass que se dirige hacia la coronaria derecha en la cara inferior del coraz\u00f3n. El puente se halla perfectamente alineado y un clamp tipo bulldog (\u00f3valo verde) lo ocluye temporariamente.<br><\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>BYPASS CORONARIO:<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"default","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"class_list":["post-1809","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/pages\/1809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/comments?post=1809"}],"version-history":[{"count":1,"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/pages\/1809\/revisions"}],"predecessor-version":[{"id":1815,"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/pages\/1809\/revisions\/1815"}],"wp:attachment":[{"href":"https:\/\/heartlaboratoryuba.net\/index.php\/wp-json\/wp\/v2\/media?parent=1809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}