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13 results on '"Barca, Laura Varela"'

1. Prognostic models for mortality after cardiac surgery in patients with infective endocarditis: a systematic review and aggregation of prediction models

Author

Fernandez-Felix, Borja M., Barca, Laura Varela, Garcia-Esquinas, Esther, Correa-Pérez, Andrea, Fernández-Hidalgo, Nuria, Muriel, Alfonso, Lopez-Alcalde, Jesus, Álvarez-Diaz, Noelia, Pijoan, Jose I., Ribera, Aida, Elorza, Enrique Navas, Muñoz, Patricia, Fariñas, María del Carmen, Goenaga, Miguel Ángel, and Zamora, Javier

Published
2021
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2. Anomalous Aortic Origin of a Coronary Artery: Results from a Single Surgical Team in Spain

Author

Barca, Laura Varela, Hernández-Estefanía, Rafael, Orejas, Miguel Orejas, Miñambres, Alicia Donado, Mallebrera, Marta Tomás, Romero, Pilar Calderón, Yung, Angeles Heredero, and Aldámiz-Echevarría, Gonzalo

Abstract

Objectives Anomalous aortic origin of a coronary artery is a rare congenital lesion in which a coronary artery arises from an anomalous location within the aorta. Anomalous aortic origin of a coronary artery has been associated with myocardial ischemia and it is considered the second most common cause of sudden cardiac arrest in young athletes. When surgical repair is indicated, surgical unroofing is the most commonly employed technique. Our objective is to describe the outcomes of our surgically treated patients.Methods We present a series of 16 adult patients who underwent surgical repair of anomalous aortic origin of a coronary artery. Patients were treated in three different institutions by the same surgeon. Surgical unroofing of the anomalous coronary artery was the surgical technique chosen in the majority of the patients. Follow-up was performed.Results Unroofing of an intramural anomalous coronary artery was the procedure performed in 11 patients. Three patients underwent neo-ostium creation; one patient underwent a David procedure with coronary reimplantation; and one patient was treated with coronary bypass grafting due to severe coronary atheromatous lesions. There were no perioperative deaths, and no major postoperative complications. Follow-up period was 73.8 months, the survival rate was 100%, and there were neither ischemia or heart failure reports.Conclusions The surgical repair of anomalous aortic origin of a coronary artery by coronary unroofing or neo-ostium creation has demonstrated excellent early and late outcomes. Late survival was excellent. The follow-up period revealed no significant morbidity or complications.

Published
2025
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4. Impact of the COVID-19 pandemic on the diagnosis, management and prognosis of infective endocarditis

Author

de Alarcón, Arístides, Gutiérrez-Carretero, Encarnación, Luque-Márquez, Rafael, Baz, Blanca Anaya, López-Cortés, Luis Eduardo, Baena, Zaira Palacios, García López, María Victoria, Burgos, Guillermo Ojeda, Ciézar, Antonio Pláta, Reguera Iglesias, José María, Delgado, Ricardo Vivancos, Hidalgo-Tenorio, Carmen, Sequera, Sergio, Ch, Fariñas, María Carmen, González-Rico, Claudia, Gutiérrez-Díez, José Francisco, Cabezón, Gonzalo, López, Javier, San Román, Alberto, Almirante, Benito, Escolà-Vergé, Laura, Fernández, Rubén, Fernández-Hidalgo, Nuria, Gonzàlez-Alujas, Maria Teresa, Maisterra, Olga, Oristrell, Gerard, Pizzi, María Nazarena, Rello, Pau, Ríos, Remedios, Roque, Albert, Sambola, Antonia, Soriano, Toni, Cuervo, Guillermo, Grau, Immaculada, Grillo, Sara, Pruñonosa, Lourdes Mateu, Pedro-Botet Montoya, Maria Lluïsa, Camazón, Nuria Vallejo, Hernández-Meneses, Marta, Miro, Jose M., Quintana, Eduard, Barros, Antonio José, Gurgui, Mercè, Rivera, Alba, Castelo Corral, María Laura, Vidal, Efrén Sánchez, Sousa, Dolores, Pérez-Rodríguez, María Teresa, Sousa, Adrián, Suárez, Milagros, Ribas Fernández, Maria Àngels, Barca, Laura Varela, Bonet, Laura Vidal, García-Álvarez, Lara, Oteo, José A., Baza, Adrián Jerónimo, Olmos, Carmen, Vilacosta, Isidre, Domínguez-Pérez, Laura, López-Medrano, Francisco, Solera Rallo, Javier T., Moya Mur, José Luis, Elorza, Enrique Navas, Mayor, Andrea Kallmeyer, Pello, Ana María, Roca, Luis Nieto, García, María Aguilera, de las Cuevas Torres, Carmen, Béjar, Carmen Sáez, de Castro Campos, Daniel, Domínguez, Fernando, Ramos-Martínez, Antonio, García, Patricia Muñoz, Samperio, María Olmedo, Minero, Maricela Valerio, Vázquez, Elisa García, Torres, Alicia Hernández, Escudero, Encarnación Moral, Goenaga Sánchez, Miguel Ángel, Urkola, Xavier Kortajarena, Jaka, Karlos Reviejo, Bereciartua, Elena, Goikoetxea, Josune, Rodríguez, Regino, and Acevedo, Martín Reyes

Published
2021
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5. Fibrosis mediastínica post-irradiación: un factor a tener en cuenta en cirugía cardiaca

Author

Barca, Laura Varela, Pérez, Rafael Muñoz, Hycka, Javier Miguelena, López-Menéndez, José, and Stuart, Jorge Rodríguez-Roda

Subjects
Post-radiation mediastinal fibrosis, cardiovascular system, Rupture of innominate vein, Cardiovascular surgery, Rotura de la vena innominada, Fibrosis mediastínica post-irradiación, Cirugía cardiovascular
Abstract

Resumen La radioterapia mediastínica es uno de los tratamientos fundamentales de las enfermedades malignas torácicas, pero también representa una causa potencial de complicaciones, tanto a corto como a largo plazo. Se presenta una serie de casos de rotura de vena innominada durante esternotomía media en pacientes con fibrosis mediastínica. Los tres casos descritos corresponden a pacientes intervenidos de cirugía cardiaca con antecedentes de radioterapia mediastínica, entre 15-30 años antes de la cirugía, por tres diferentes enfermedades malignas (linfoma de Hodgkin, timoma y cáncer de mama). En los tres casos se reporta rotura de la vena innominada, con desinserción de su origen en la vena cava superior debido a fibrosis mediastínica intensa. Abstract Although mediastinal radiotherapy is one of the basic treatments of malignant thoracic diseases, it is also a potential cause of short and long-term complications. A series of cases of rupture of the innominate vein during sternotomy are presented in patients with mediastinal fibrosis. The three cases described correspond to patients intervened by cardiac surgery, with a history of mediastinal radiotherapy between 15 to 30 years before the surgery, due to three different malignant diseases (Hodgkin lymphoma, thymoma, and breast cancer). In the three cases, a rupture of the innominate vein is reported; with de-insertion of its origin in the superior vena cava sue to intense mediastinal fibrosis.

Published
2019

6. Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report

Author

Barca,Laura Varela, López-Menéndez,José, Palacios,Ana Redondo, and Stuart,Jorge Rodríguez-Roda

Subjects
surgical procedures, operative, Coronary Aneurysm, Coronary Artery Bypass, Off-Pump, cardiovascular diseases, Mucocutaneous Lymph Node Syndrome, Acute Coronary Syndrome
Abstract

We report a case of a 23-year-old man who was diagnosed with Kawasaki disease that progressed to a coronary aneurysm in the left main coronary artery (LMA). He had suffered from acute coronary syndrome and then underwent an emergent percutaneous coronary angioplasty, in which a polyurethane-covered stent was placed inside the aneurysm. The stent was thrombosed one year later, despite the patient had been treated with anticoagulant and antiplatelet therapy. Emergency percutaneous intervention was then performed. LMA was reopened and stent malposition was observed. Therefore, urgent coronary bypass grafting was performed in which a high degree of competitive flow was observed through the reopened stent. LMA was ligated at the inflow of the aneurysm, resulting in an improvement of graft flow. Left main ligature has not been previously reported.

Published
2019

9. Prognostic assessment of valvular surgery in active infective endocarditis: multicentric nationwide validation of a new score developed from a meta-analysis.

Author

Barca, Laura Varela, Fernández-Felix, Borja M, Elorza, Enrique Navas, Mestres, Carlos A, Muñoz, Patricia, Cuerpo-Caballero, Gregorio, Rodríguez-Abella, Hugo, Montejo-Baranda, Miguel, Rodríguez-Álvarez, Regino, Díez, Francisco Gutiérrez, Goenaga, Miguel Angel, Quintana, Eduard, Ojeda-Burgos, Guillermo, Alarcón, Arístides de, Vidal-Bonet, Laura, Hernández, Tomasa Centella, López-Menéndez, Jose, and (GAMES), on behalf of the Spanish Collaboration on Endocarditis—Grupo de Apoyo al Manejo de la Endocarditis infecciosa en ESpaña

Subjects
*INFECTIVE endocarditis, *RECEIVER operating characteristic curves, *HOSPITAL mortality, *META-analysis
Abstract

Open in new tab Download slide Open in new tab Download slide OBJECTIVES Several risk prediction models have been developed to estimate the risk of mortality after valve surgery for active infective endocarditis (IE), but few external validations have been conducted to assess their accuracy. We previously developed a systematic review and meta-analysis of the impact of IE-specific factors for the in-hospital mortality rate after IE valve surgery, whose obtained pooled estimations were the basis for the development of a new score (APORTEI). The aim of the present study was to assess its prognostic accuracy in a nationwide cohort. METHODS We analysed the prognostic utility of the APORTEI score using patient-level data from a multicentric national cohort. Patients who underwent surgery for active IE between 2008 and 2018 were included. Discrimination was evaluated using the area under the receiver operating characteristic curve, and the calibration was assessed using the calibration slope and the Hosmer–Lemeshow test. Agreement between the APORTEI and the EuroSCORE I was also analysed by Lin's concordance correlation coefficient (CCC), the Bland–Altman agreement analysis and a scatterplot graph. RESULTS The 11 variables that comprised the APORTEI score were analysed in the sample. The APORTEI score was calculated in 1338 patients. The overall observed surgical mortality rate was 25.56%. The score demonstrated adequate discrimination (area under the receiver operating characteristic curve = 0.75; 95% confidence interval 0.72–0.77) and calibration (calibration slope = 1.03; Hosmer–Lemeshow test P  = 0.389). We found a lack of agreement between the APORTEI and EuroSCORE I (concordance correlation coefficient = 0.55). CONCLUSIONS The APORTEI score, developed from a systematic review and meta-analysis, showed an adequate estimation of the risk of mortality after IE valve surgery in a nationwide cohort. [ABSTRACT FROM AUTHOR]

Published
2020
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13. Treatment For Infected Frozen Elephant Trunk Prosthesis Caused by Propionibacterium acnes: A Surgical Challenge.

Author

Barca LV, Esteban-Lucia L, Tomás-Mallebrera M, Pello-Lázaro A, and Aldámiz-Echevarría G

Abstract

In this article, we present the case of a 47-year-old man who underwent Bentall-Bono procedure and frozen elephant trunk prosthesis implantation due to severe aortic regurgitation and aortic dilatation with a second-time endovascular stent-graft repair in descending aorta. Over eight years, a subacute graft infection by Propionibacterium acnes was developed, culminating in cardiogenic shock secondary to severe aortic regurgitation due to a complete aortic root dehiscence because of multiple aortic pseudoaneurysms. The patient underwent emergency surgery in which the replacement of the graft by a biological valve tube was performed accompanied by a complete debranching of the three supra-aortic vessels.

Published
2023
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