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Cirugía Cardiaca en México

ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.
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2018, Number 3

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Cir Card Mex 2018; 3 (3)

Ampliación del anillo aórtico, implante protésico mitral y comisurotomía tricuspidea en un reoperado. Reporte de caso

Ortega-Zhindón DB, Campos-Badillo A, López-Echeverría WE, Flores-Calderón O, Dajer-Fadel WL, Ramírez-Castañeda S
Full text How to cite this article

Language: Spanish
References: 7
Page: 93-96
PDF size: 308.70 Kb.


Key words:

Small aortic annulus, Aortic annulus enlargement, Aortic valve replacement, Heart valve prosthesis.

ABSTRACT

A small aortic valve annulus produces hemodynamic and structural alterations thereby requiring a solution by means of different procedures as annular enlargement and decreasing left ventricle afterload, improving survival. We present herein a 20-year-old male with a history of aortic valve replacement and ductus arteriosus closure. An enlargement of the aortic annulus and aortic valve replacement were performed, as well as myectomy, mitral valve replacement, tricuspid comisuroplasty and transpulmonary closure of patent ductus arteriosus.


REFERENCES

  1. Dumani S, Likaj E, Dibra L, Llazo S, Refatllari A. Aortic Annular Enlargementduring Aortic Valve Replacement. Open Access Maced J Med Sci 2016;4:455-7.

  2. Santibáñez-Escobar F. Tratamiento quirúrgico de la estenosis valvular aórtica conanillo aórtico pequeño. Arch Cardiol Mex 2006;76:117-23.

  3. Head SJ, Mokhles MM, Osnabrugge RLJ, et al. The impact of prosthesis–patientmismatch on long-term survival after aortic valve replacement: a systematic reviewand meta-analysis of 34 observational studies comprising 27186 patientswith 133141 patient-years. Eur Heart J 2012;33:1518-29.

  4. Borracci RA, Rubio M, Poveda-Camargo RL, et al. Aortic root enlargement ofa small annulus using the Nicks technique during aortic valve replacement. RevArgent Cardiol 2014;82:529-32.

  5. Ramírez-López MB, Pérez-López HE, Paredes-Cordero A, Estévez-Álvarez N.Enlargement of the aortic valve ring, surgical technics: prosthesis-patient mismacht.Rev Cubana Cardiol Cir Cardiovasc 2014;20:176-84.

  6. Castro LJ, Arcidi JM, Fisher AL, Gaudiani VA. Routine enlargement of thesmall aortic root: a preventive strategy to minimize mismatch. Ann Thorac Surg2002;74:31-6.

  7. Velásquez O, Sandoval N, Orjuela H, et al. Aortic ring widening for prosthesisimplantation. Evaluation throughout time. Rev Col Cardiol 2005;11:349-55.




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C?MO CITAR (Vancouver)

Cir Card Mex. 2018;3