Dr. Jacobo Silva Guisasola: cardiovascular surgeon in Madrid | Top Doctors
Dr. Jacobo Silva Guisasola

Dr. Jacobo Silva Guisasola
Cardiovascular Disease
Madrid


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Dr. Jacobo Silva Guisasola Cardiovascular surgeon in
Madrid


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Dr. Jacobo Silva Guisasola areas of expertise:

Professional statement

Cardiac Surgery Specialist, with proven academic training and hospital experience of over 15 years, in constant touch with the latest technological advances.

*Translated with Google translator. We apologize for any imperfection

Diseases, Medical Tests and Treatments

Coronary artery bypass

  Coronary artery bypass surgery is a surgical technique used to restore blood flow that supplies the heart. There are two types: with ECC and off- ...

Coronary Surgery

  Coronary artery bypass surgery or coronary artery bypass graft surgery is the treatment of coronary artery blockages aimed at creating a step to ...

Aortic root surgery

  The surgery of the aortic root is the operation performed to correct aneurysms produced in that area of ​​the aorta, which also affect the aortic ...

Aortic Surgery

Aorta surgery is surgery that removes aortic aneurysm, a widening out of the ordinary portion of an artery. Aortic aneurysm is in the higher part of t ...

Atrial fibrillation

AF is the most frequent arrhythmia in daily clinical practice with a high incidence of health in terms of social cost to the point of being considered a health epidemic, representing a very high volume of hospital admissions and increasing up to five times the potential risk of To suffer a stroke in the people who suffer it, therefore requiring in a very high percentage of oral anticoagulation cases. AF is a rapid flutter of the atria, generating a high number of electrical impulses that pass to the ventricles irregularly, producing the perception of a rapid and arrhythmic pulse. As a consequence of this arrhythmia, two other types of phenomena of enormous transcendence in the individual and potentially in society and in their surroundings occur in addition to the rapid and irregular pulse. On the one hand, the loss of normal and synchronous atrial contraction with the ventricles implies a significant reduction in the mechanical efficiency of the heart as a pump, contributing to a greater degree of fatigue and fatigue, and on the other hand, this atrial flutter allows the backflow of the heart. Blood in its interior, facilitating the blood coagulation and therefore the formation of thrombi in its interior that if they move to the circulatory torrent, can produce a stroke. However, although the atria is the one that suffers the problem, the initial origin of the onset of this heart rhythm disorder originates predominantly in the pulmonary veins. Patients with this cardiac rhythm disorder are usually born with muscle fibers that abnormally connect the pulmonary veins to the left atrium and are potentially activatable in response to a series of point stimuli or specific clinical conditions, modulated very importantly by the influence Of the autonomic nervous system, which is the visceral nervous system, that of the emotions, (which we can not control), playing this, a role modulator frequently in the abnormal electrical activity of the pulmonary veins that can at a specific moment activate electrically Anomalously and generate between 300 and 600 electric pulses per minute that literally "bombard" the left atrium, causing it to lose normal heart rate and initiating this flutter. ...

Congenital Heart Disease

  Congenital heart defects are abnormalities of the heart or great vessels that occur in utero. The best known and most common are: atrial communication, interventricular communication, and Ebstein anomaly Tetralogy of Fallot. Medical advances have allowed the treatment of these diseases and that more and more people with such anomalies comes with a good quality of life to adulthood. However, these heart disease require special attention and regular monitoring because they can be associated with other health problems. Currently, for the diagnosis and control of such diseases, there is a variety of techniques, such as echocardiography, cardiac catheterization or CT multidetector, an additional test suitable for the discovered congenital heart disease in adults or surgically corrected the childhood. ...

Heart Transplantation

  Heart transplantation is a surgical procedure that involves replacing the diseased organ of the patient by a healthy heart from a donor. Patients for which usually requires a heart transplant usually those in which yours is so weakened or injured that they can only be as therapeutic solution transplantation. In many cases, these patients having pathologies are heart failure or severe CAD. Anyway, we must take into account many factors when performing a heart transplant because it is a highly complex technique that involves many risks and are intended for people with poor health status. ...

Heart Valve Surgery

Restorative cardiac valve replacement surgery is a surgical technique that replaces a valve of the heart on the other, which can be artificial. It is used to treat congenital or valvular heart diseases are infectious in which the valve can present problems not open well (stenosis ) or not close properly (valvular insufficiency). The heart consists of two ventricles two atria and four valves whose mission is to control the direction of blood flow, in addition to allow oxygenated blood from the lungs to the heart gets going from the atria to the ventricles, and there the bloodstream. Valvular surgery is performed under general anesthesia and requires the use of a machine for extracorporeal circulation. During the first attempt to repair the valve but occasionally cases must be replaced with one that can be biological or artificial. The former tends to give less rejection problems but their average duration is less than the artificial. ...

Hypertrophic Cardiomyopathy

  Hypertrophic cardiomyopathy is a disease caused by the inability of relaxation of the heart, altering pumping blood into the bloodstream. The cause of this disease is hypertrophy (enlargement) of the walls of the ventricles. In general, patients show dyspnea (breathlessness) in response to heart failure but in many cases may be asymptomatic, and is considered one of the most common causes of sudden death in young people. Among other complications of hypertrophic cardiomyopathy include arrhythmias, angina pectoris or myocardial infarction. Your treatment is based on the use of drugs that enhance arrhythmias and heart contractility although the use of the ICD (defibrillator autoimplantable) in cases where the risk of sudden death is important may also be necessary. In addition, cardiomyopathy is an inherited disease, so it is highly advisable to visit a cardiologist when there is a family history of this disease. ...

Implantable cardioverter defibrillator (ICD)

An implantable cardioverter defibrillator (ICD), or internal defibrillator is a device through which is circulated a sharp and high-voltage electric current to stop and reverse arrhythmias. It is indicated in cases of cardiorespiratory stops and in which the heart beats out of control and very quick. Under these conditions, the heart muscle is unable to pump blood into the bloodstream, so it is necessary to stop and control this arrhythmia. ICD implantation to an electrode through veins and placed under the skin generator is implanted. With the emergence of rapid arrhythmia, implantable defibrillator detects and automatically emits a loud and sudden shock, enough to send arrhythmia and heart rate returns to normal power. ...

Marfan Syndrome

  Marfan syndrome is a genetic cause clinical disease characterized by a disorder in the growth of connective tissue, mainly affecting the skeletal system, eyes, skin and cardiovascular system. This disease may also affect the lungs, at the eye level and especially on the heart, where they can cause stretching or weakening of the aorta, which is known as aneurysm or aortic dilation. The physical appearance of people with this syndrome is very characteristic and characterized by: one tall, with hands and feet disproportionate; high flexibility; deviation of the spine (scoliosis); They may have sunken chest or very prominent; and his face is narrow and thin, often with a small jaw. ...

Minimally Invasive Cardiac Surgery

  Minimally invasive cardiac surgery is to reach the heart from small incisions are made intercostal level. The advantages of this type of surgery are, among others: the posterior scar is smaller, there is less risk of infection and less blood loss during surgery, and the hospital stay is shorter and recovery time. There are several surgical procedures that can use this minimally invasive heart, including the repair or replacement of heart valves; inserting pacemakers connections; the minimally invasive direct coronary artery bypass (MIDCAB), which is to perform a coronary bypass through a small incision below the ribs ... ...

Myocarditis

Myocarditis is inflammation of the heart muscle. It is a rare disease and can be caused by several factors: infections, allergic reactions, diseases with an immunological basis, etc. In some patients, there are no symptoms, but in most the disease is manifested by chest pain, fatigue, fever, joint pain, or shortness of breath, among other symptoms. For diagnosis, it is necessary to perform a series of tests (general analytic, an ultrasound of the heart and an electrocardiogram), and treatment aims to eradicate what caused the inflammation of the heart muscle by prescribing antibiotics or anti-inflammatory and recommendation salt diet or decreased physical activity. In many cases, recovery with proper treatment may involve the complete cure of the patient, preventing further complications such as heart failure. ...

Pacemaker surgery

  A pacemaker is a small electronic device that is inserted subcutaneously within the body whose function is to maintain the proper heart rate when a problem is detected in the electrical system of the heart. It comprises a generator to send electrical signals when necessary, so corrects the electrical signal sending heart when required. Several types of pacemaker function arrhythmias by a patient, and placing a simple and involves little risk of surgical technique. It involves making an incision in the skin below the collarbone to create a small space as a pocket, which the cable is inserted pacemaker and leads up into a vein in the upper chest. Since that area is guided to the heart chambers and the pacemaker generator is connected to the cable. Finally, in order to regulate the heart rate most suitable for each patient, the pacemaker controls are programmed. ...

Pericarditis

Pericarditis is inflammation of the serous membrane, ie, the outer coat that surrounds the heart sac. It may be due to an infectious origin, or appear without apparent cause or after a general infection like pneumonia, tuberculosis ... All symptoms are cardiocirculatory from dyspnea heart failure, through oppression or symptoms of decompensation; and clinically manifested with choking and intense stabbing chest pain level. In many cases, it is generally a benign condition that refers to own treatment of the symptoms presented by the patient, but in exceptional cases, surgical treatment may be necessary. Pericarditis can give a very similar clinical cardiomyopathy but it is important to differentiate since the treatment is completely different. ...

Placing Port-a-Cath (Cath)

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Pulmonary Hypertension

  The thrombus chronic embolic pulmonary hypertension (CTEPH) and pulmonary thrombosis, a condition characterized by a disproportionately high pressure in the arteries of the lungs. This disease can cause the heart to suffer great distress and, if not treated early, involves serious problems, including death. The origin of pulmonary hypertension is the narrowing of blood vessels in the lungs, this happens when the pressure is accumulated by the difficulty of transporting such blood vessels. Currently, the indicated treatments for this disease: pulmonary thromboendarterectomy, a surgical technique that involves removing fatty plaques or blockages of the vessels supplying the lungs, but is contraindicated in patients with severe obstructive or restrictive lung disease; lung transplantation, indicated for those patients who are not eligible for pulmonary endarterectomy surgery. ...

Ross surgery

  Ross Operation is used in young patients with aortic valve problems. It is to replace the diseased aortic valve by the patient's pulmonary valve implantation with a cryopreserved pulmonary homograft itself. Ross Operation is suitable for young people with stenosis or regurgitation that can not be corrected properly by conservative techniques. This operation is showing very good results and the patient should not take anticoagulants and can make a completely normal life. ...

Stent

  A stent is a tube-shaped device that is placed inside blood vessels in order to get strengthen and keep open the concrete wall of glass that is damaged or required. A stent (cardiac, coronary or aorta) has a composition and mesh-like plastic or metal look: a coronary stent or cardiac stent is the one that is placed into an artery after performing balloon angioplasty to prevent conclusion thereof; aortic stents are used to treat aneurysms or aortic dilation. To place an operation in which a flexible tube is inserted through a small incision in the groin, advancing it through the femoral artery into the aorta, and then to the aneurysm where the stent is placed is performed. ...

Ventricular assistance

Ventricular assist systems are devices that are intended to treat a terminal heart failure that can no longer respond or with drugs or the use of conventional pacemakers. Its function is to emulate the heart, helping the correct circulation of blood from the left ventricle to the heart and to the whole organism. Generally, the ideal candidates for this type of device are patients who are on the waiting list for a heart transplant, whose only hope of survival is the placement of these care system, although it is also a good solution for those patients who are not candidates optimal for a heart transplant because these devices allow extend their lives. For placement, it is necessary to perform a surgical intervention under general anesthesia. The system consists of three parts: a pump, which can be continuous or pulsatile flow (located inside the abdomen), an electronic controller and a battery. ...

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