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Enfermería en Cardiología

Enfermería en Cardiología

MAYO 2024 N° 90 Volumen 34

OUTPATIENT RADIAL AORTIC PARAVALVULAR LEAK CLOSURE

Section: Casos clínicos

How to quote

DOI: https://doi.org/10.59322/90.5059.SX8

Authors

Iris Dueñas Ramos1, Teresa Espinosa Moreno2, Joan Benítez Reda1, Xavier Freixa Rofastes3

Position

  • RN, MSN. Hemodinámica cardiaca. Hospital Clinic de Barcelona
  • RN, MSN, PhD(c). Enfermera Práctica Avanzada de Procesos intervencionistas y quirúrgicos cardiovasculares, ambulatorios. Hospital Clinic de Barcelona
  • MD, PHD. Hemodinámica cardiaca. Hospital Clinic de Barcelona

    • Contact address

    Iris Dueñas Ramos Institut Clínic Cardiovascular, Hospital Clínic Barcelona C/ Villarroel, 170 08036 Barcelona

    Contact email: iduenas@clinic.cat

    Abstract

    Aortic paravalvular leak represents one of the most frequent complications after surgical or percutaneous aortic valve replacement. In recent years, this complication can be treated percutaneously, avoiding repeated surgery. We describe a case of percutaneous aortic paravalvular leak closure, who was discharged the same day, focusing on educating the patient and family to ensure a safe process.

    A 79-year-old male with a mechanical aortic prosthesis implanted in 2001. The patient developed dyspnea with minimal efforts (NYHA III), which worsened within the last six months due to an aortic paravalvular leak. After a Heart Team evaluation, percutaneous paravalvular leak closure was indicated, and the patient was assessed for a same-day discharge program. One first visit was arranged before the procedure, then, an educational intervention for the patient and family, regarding recommendations after discharge, early complication detection, and treatment changes, was performed before discharge. Finally, an early follow-up, at 24 h and one month after intervention, was carried out by the advanced practice nurse.

    Diagnostics were formulated following NANDA-NIC-NOC methodology, based on Marjory Gordon’s 11 Functional Health Patterns, in four different phases of the process and interventions were oriented to the altered patterns and evaluated using a Likert Scale.

    A comprehensive assessment of the patient by the multidisciplinary team and the application of inclusion and exclusion criteria allowed a correct selection of the candidate patient for a same-day discharge program. The advanced nurse practitioner contributes with a holistic and individualized vision of the whole process.

    Keywords:

    Cardiology; outpatients; anastomotic leak; aortic valve; advanced practice nursingambulatory care

    Versión en Español

    Título:

    CIERRE PERCUTÁNEO DE LEAK PERIPROTÉSICO AÓRTICO RADIAL AMBULATORIO

    Artículo completo no disponible en este idioma / Full article is not available in this language

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