Objetivo. Determinar la calidad de vida relacionada con la salud tras la cirugía de reemplazo de válvula cardíaca según el riesgo preoperatorio de mortalidad en el Hospital Nacional Dos de Mayo entre el 2014 y 2016. Materiales y método. Estudio observacional, descriptivo, longitudinal y retrospectivo, en el que se realizó una entrevista empleando el cuestionario EuroQoL validado para Perú, tanto antes y después de la cirugía de remplazo valvular aórtico o mitral. Para la comparación de la calidad de vida antes y después de la cirugía, se calculó el índice de calidad de vida, empleando algoritmos matemáticos con coeficientes ajustados a pacientes peruanos, y se empleó el programa IBM SPSS 23 para Windows para el cálculo de medidas de frecuencia, dispersión y tendencia central, y se empleó la prueba de U de Mann Whitney y de T de Wilcoxon para determinar diferencia sign...

There are few reports on intracardiac fungal masses, especially in the pediatric population. We present the case of an extremely premature patient who, after being hospitalized since birth in an intensive care unit, developed fungal masses in the right atrium, which, due to their size, location and resistance to medical treatment, required surgical excision. For this reason, at the slightest suspicion of systemic candidiasis in pediatric patients, it is mandatory to include an echocardiogram in the defocalization examinations to rule out endocarditis and thus avoid the development of intracardiac fungal masses. Therefore, early detection for timely medical management may avoid the surgical approach associated with a high risk of morbidity and mortality in extremely premature patients.

There are few reports on intracardiac fungal masses, especially in the pediatric population. We present the case of an extremely premature patient who, after being hospitalized since birth in an intensive care unit, developed fungal masses in the right atrium, which, due to their size, location and resistance to medical treatment, required surgical excision. For this reason, at the slightest suspicion of systemic candidiasis in pediatric patients, it is mandatory to include an echocardiogram in the defocalization examinations to rule out endocarditis and thus avoid the development of intracardiac fungal masses. Therefore, early detection for timely medical management may avoid the surgical approach associated with a high risk of morbidity and mortality in extremely premature patients.

Objective: To describe the clinical and surgical profile of patients with sequelae of pulmonary tuberculosis (TB) who underwent thoracic surgery at Hospital Nacional Dos de Mayo between 2017 and 2022. Materials and methods: A descriptive and retrospective research involving patientswith sequelae of pulmonary TB who underwent thoracic surgery. Data were recorded using Excel365, and descriptive statistical analysis was performed using IBM SPSS Statistics 26. Results: Atotal of 31 medical records were reviewed. The mean age was 43.90 ± 16.185 years, with a malepredominance (61.30 %). Most patients came from Lima (54.80 %) and the Peruvian highlands(41.90 %), and 29.00 % had completed secondary education. Harmful habits—alcohol and tobaccouse—were reported in 25.80 % (n = 8), and 16.10 % (n = 5) had diabetes mellitus. Regarding TBhistory, 71.00 % (n = 22) of cases were newly diagnosed d...

Se presentan 5 casos consecutivos de pacientes con Síndrome de Marfan y disección de aorta torácica ascendente, quienes fueron tratados quirúrgicamente con reemplazo de raíz aórtica (operación modificada de Bentall). Todos los pacientes tuvieron plena recuperación y al seguimiento post alta realizan actividades de la vida diaria sin problemas.

La timectomía es una opción terapéutica en el manejo de la miastenia gravis (MG). Aunque existe controversia sobre las indicaciones quirúrgicas y el mejor momento para operar, la timectomía se mantiene como un procedimiento seguro y efectivo para el tratamiento de MG. Aquí revisamos nuestra experiencia con esta operación en pacientes con esta enfermedad, y comparamos nuestros resultados con aquellos publicados en la literatura.

Se presentan dos casos de bocio retroesternal que fueron resecados a través de incisión cervical y esternotomía mediana. Se discuten las alternativas para el abordaje quirúrgico y se hace una revisión de la literatura.