<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702022000400002</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00400</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados de cirugía de aneurisma abdominotorácico abierto mediante circulación extracorpórea parcial izquierda en un centro de bajo volumen]]></article-title>
<article-title xml:lang="en"><![CDATA[Results of open thoracoabdominal aneurysm repair with left partial cardiopulmonary bypass in a low-volume center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pizzamiglio]]></surname>
<given-names><![CDATA[Matteo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-García]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Cruz]]></surname>
<given-names><![CDATA[Jennifer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Lebruno]]></surname>
<given-names><![CDATA[Patricia Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arribas-Díaz]]></surname>
<given-names><![CDATA[Ana Begoña]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aparicio-Martínez]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Fundación Jiménez Díaz Servicio de Angiología, Cirugía Vascular y Endovascular ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>74</volume>
<numero>4</numero>
<fpage>150</fpage>
<lpage>156</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702022000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702022000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702022000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la reparación abierta del aneurisma de aorta abdominotorácica (AATA) es técnicamente un reto, tanto desde el punto de vista quirúrgico como circulatorio, y en consecuencia conlleva un riesgo significativo de morbilidad y mortalidad operatorias. El objetivo de este estudio es analizar los resultados y las complicaciones de este tipo de intervenciones en nuestro centro.  Métodos: se recogieron los antecedentes, los datos intraoperatorios y las complicaciones posoperatorias de pacientes tratados de aneurisma abdominotorácico abierto en un periodo de 15 años.  Resultados: entre enero de 2005 y diciembre de 2019 se intervinieron un total de 27 pacientes por aneurisma abdominotorácico. 25 pacientes presentaban aneurisma y 2, disección crónica. 5 pacientes ya tenían realizada una cirugía aórtica previa: 2 fueron tratados de AAA mediante bypass aortoaórtico y aortobiilíaco, 2 pacientes por disección aórtica de tipo I mediante sustitución del arco aórtico y 1 por aneurisma de aorta torácica en el que se realizó TEVAR y bypass carótido-carotídeo y carótido-subclavio. La edad media fue de 66,5 ± 7,77 años y el 21 % fueron mujeres. En cuanto a la clasificación de Crawford de los aneurismas abdominotorácicos, 1 era del tipo I, 7 del tipo II, 9 del tipo III, 9 del tipo IV y 1 del tipo V. 23 intervenciones fueron de manera programada y 4, urgentes. Los AATA de tipo I, II, III y V se trataron mediante circulación extracorpórea parcial izquierda. La mortalidad total fue del 14,81 % y la programada, del 8,69 %. La incidencia de paraparesia posquirúrgica fue del 7,4 %. No hubo casos de paraplejia ni de ictus. La incidencia de infarto agudo de miocardio fue del 7,4 % y la de complicaciones respiratorias, del 48 %. La incidencia de insuficiencia renal aguda fue del 29,6 %. 5 de estos 8 pacientes requirieron hemodiálisis temporal. Un paciente presentó isquemia intestinal posoperatoria con requerimiento de hemicolectomía izquierda. La mediana de la estancia en UCI fue de 4 días y la de hospitalización, de 16 días.  Conclusiones: a pesar de la complejidad de la cirugía del aneurisma abdominotorácico abierto y el riesgo significativo de complicaciones, la reparación quirúrgica mediante circulación extracorpórea parcial izquierda puede realizarse con resultados aceptables en un centro de bajo volumen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: open TAA repair is technically challenging, both from a surgical and circulatory point of view, and consequently carries a significant risk of operative morbidity and mortality. The aim of this study is to analyze results and complications of this type of intervention in our center.  Methods: demographic characteristics, intraoperative data and postoperative complications of patients who underwent open thoracoabdominal aneurysm repair were collected between January 2005 and December 2019 in our center.  Results: a total of 27 patients underwent thoracoabdominal aneurysm surgery. 25 patients had aortic aneurysm and 2 chronic dissection. 5 patients had already undergone previous aortic intervention. The mean age was 66.5 ± 7,77 and 21% were women. Regarding Crawford's classification of thoracoabdominal aneurysms, there were 1 Type I, 7 Type II, 9 Type III, 9 Type IV, and 1 Type V. 23 patients were treated electively and 4 urgently. Types I, II, III, and V TAAA were treated with left partial cardiopulmonary bypass. Total mortality was 14.81 % and elective mortality was 8.69 %. The incidence of postsurgical paraparesis was 7.4 %. There were no cases of paraplegia or stroke. The incidence of acute myocardial infarction was 7.4 % and of pulmonary complications 48 %. The incidence of acute renal failure was 29.6 %. 5 of these eight patients required temporary hemodialysis. 1 patient presented postoperative visceral ischemia requiring left hemicolectomy. The median intensive care unit length of stay was 4 days and median hospital length of stay was 16 days.  Conclusions: despite the complexity of open thoracoabdominal aneurysm surgery and the significant risk of complications, surgical repair with left partial cardiopulmonary bypass can be performed with acceptable results in a low-volume center.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aneurisma abdominotorácico]]></kwd>
<kwd lng="es"><![CDATA[Reparación abierta]]></kwd>
<kwd lng="es"><![CDATA[Derivación parcial izquierda]]></kwd>
<kwd lng="es"><![CDATA[Resultados]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad posoperatoria]]></kwd>
<kwd lng="en"><![CDATA[Thoracoabdominal aneurysm]]></kwd>
<kwd lng="en"><![CDATA[Open repair]]></kwd>
<kwd lng="en"><![CDATA[Left partial bypass]]></kwd>
<kwd lng="en"><![CDATA[Results]]></kwd>
<kwd lng="en"><![CDATA[Postoperative mortality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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