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2006, Número S4

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Arch Cardiol Mex 2006; 76 (S4)


Estenosis valvular aórtica congénita. Actualización del tratamiento

Alva C, Gómez FD, Yáñez GL

Idioma: Español
Referencias bibliográficas: 46
Paginas: 152-157
Archivo PDF: 95.94 Kb.


RESUMEN

Objetivo de la revisión: La estenosis valvular aórtica congénita es una lesión frecuente, comprende del 5 al 7% de las cardiopatías congénitas, y ocupa el primer lugar en las obstrucciones izquierdas del corazón. En los últimos años se han desarrollado avances notables en el diagnóstico y tratamiento de esta enfermedad en ambos extremos de la vida: por un lado la valvuloplastía percutánea aórtica in útero y por el otro el implante valvular aórtico percutáneo han demostrado resultados iniciales promisorios. También para los niños y adolescentes con esta lesión, se han producido nuevas técnicas que mejoran los resultados de la cardiología intervencionista como la estimulación cardíaca para inmovilizar el balón. En los niños y adultos jóvenes el procedimiento de Ross es el procedimiento de elección, del cual se conocen ahora más y mejor sus resultados. La información nueva sobre éstos y otros procedimientos ha crecido considerablemente, una revisión de sus indicaciones, alcances y limitaciones se hace pertinente.


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