Ítem
Acceso Abierto
Teeth infection may “shunt” through Fontan in high-altitude conditions
dc.contributor.advisor | Ronderos, Miguel | |
dc.creator | Mestra Durango, Camilo Fidel | |
dc.creator.degree | Especialista en Cardiología Pediátrica | |
dc.date.accessioned | 2018-02-06T20:10:54Z | |
dc.date.available | 2018-02-06T20:10:54Z | |
dc.date.created | 2018-02-02 | |
dc.date.issued | 2018 | |
dc.description.abstract | The Fontan surgery involves the creation a conduit between the inferior vena cava and the right pulmonary artery. This conduit has a small fenestration that shunts the blood from right to left in case the pulmonary blood flow is limited; namely, if the pulmonary vascular resistance is increased then the shunt is increased. Thus bacteria may bypass the pulmonary circulation and easily get access to the systemic circulation (bacteremia). We report the case of a patient that underwent Fontan surgery in 2010 and remained in a highaltitude city for 7 years, during this time he was asymptomatic until 2017 when he developed a brain abscess due to Streptococcus gordonii, a pathogen of dental plaque. Since high-altitude may raise pulmonary vascular resistance in response to reduction in the partial pressure of oxygen, we conclude that the long-term outcome of increased altitude on Fontan hemodynamics can lead to the shunt of teeth flora and lead to severe infections. | eng |
dc.description.embargo | 2019-08-01 06:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2019-04-23 | |
dc.format.mimetype | application/pdf | |
dc.identifier.doi | https://doi.org/10.48713/10336_14291 | |
dc.identifier.uri | http://repository.urosario.edu.co/handle/10336/14291 | |
dc.language.iso | spa | |
dc.publisher | Universidad del Rosario | spa |
dc.publisher.department | Facultad de Medicina | spa |
dc.publisher.program | Especialización en Cardiología Pediátrica | spa |
dc.rights.accesRights | info:eu-repo/semantics/openAccess | |
dc.rights.acceso | Abierto (Texto Completo) | spa |
dc.rights.licencia | EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos. | spa |
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dc.source.bibliographicCitation | Day RW, Orsmond GS, Sturtevant JE, Hawkins JA, Doty DB, McGough EC. Early and intermediate results of the Fontan procedure at moderately high altitude. Ann Thorac Surg [Internet]. The Society of Thoracic Surgeons; 1994;57(1):170–6. Available from: http://dx.doi.org/10.1016/0003- 4975(94)90388-3 | |
dc.source.bibliographicCitation | Johnson JT, Lindsay I, Day RW, Van Dorn CS, Hoffman J, Everitt MD, et al. Living at altitude adversely affects survival among patients with a fontan procedure. J Am Coll Cardiol [Internet]. Elsevier Inc.; 2013;61(12):1283–9. Available from: http://dx.doi.org/10.1016/j.jacc.2013.01.008 | |
dc.source.bibliographicCitation | Lemler MS. Fenestration Improves Clinical Outcome of the Fontan Procedure: A Prospective, Randomized Study. Circulation [Internet]. 2002;105(2):207–12. Available from: http://circ.ahajournals.org/content/105/2/207.long | |
dc.source.bibliographicCitation | Mehrotra A, Khanna P, Kumar S, Abraham G. Renal abscess after the Fontan procedure: a case report. J Med Case Rep [Internet]. 2011;5:50. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi? artid=3048475&tool=pmcentrez&rendertype=abstract | |
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dc.source.bibliographicCitation | Zheng W, Tan MF, Old LA, Paterson IC, Jakubovics NS, Choo SW. Distinct Biological Potential of Streptococcus gordonii and Streptococcus sanguinis Revealed by Comparative Genome Analysis. Sci Rep [Internet]. Springer US; 2017;7(1):2949. Available from: http://www.nature.com/articles/s41598- 017-02399-4 | |
dc.source.bibliographicCitation | Lakshmi V, Bhushanam V, Kumar A, Solanki R, Subramanian S. Brain abscess due to Streptococcus oralis in an immunocompetent patient. Indian J Med Microbiol [Internet]. 2014;32(2):179. Available from: http://www.ijmm.org/text.asp?2014/32/2/179/129817 | |
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dc.source.bibliographicCitation | Vidal JE, Tuon FF. Brain abscess due to viridans streptococci in a severely immunosuppressed HIVinfected patient. Int J STD AIDS. 2009;20:654–6. | |
dc.source.bibliographicCitation | McRae ME. Long-term Issues After the Fontan Procedure. AACN Adv Crit Care [Internet]. 2013;24(3):264–82. Available from: http://acc.aacnjournals.org/cgi/doi/10.1097/NCI.0b013e31829744c7 | |
dc.source.instname | instname:Universidad del Rosario | spa |
dc.source.reponame | reponame:Repositorio Institucional EdocUR | spa |
dc.subject | Fontan | spa |
dc.subject | Abceso cerebral | spa |
dc.subject | Altitud | spa |
dc.subject.lemb | Procedimiento de Fontan | spa |
dc.subject.lemb | Venas Cavas | spa |
dc.title | Teeth infection may “shunt” through Fontan in high-altitude conditions | spa |
dc.title.TranslatedTitle | Brain abscess due to dental infection in Fontan Surgery | eng |
dc.type | masterThesis | eng |
dc.type.hasVersion | info:eu-repo/semantics/acceptedVersion | |
dc.type.spa | Trabajo de grado | spa |
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