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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2022, Número 3

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Cir Card Mex 2022; 7 (3)


Annuloplasty ring as a sine qua non condition in mitral valve repair renders transcatheter edge-toedge repair an imperfect technique to treat mitral valve regurgitation

García-Villarreal OA

Idioma: Español
Referencias bibliográficas: 36
Paginas: 50-54
Archivo PDF: 284.18 Kb.


RESUMEN

La reparación de la válvula mitral percutánea transcatéter borde-a-borde como tratamiento para la insuficiencia mitral se ha convertido en una de las más impactantes tecnologías de vanguardia en la cardiología intervencionista estructural en los últimos años. La reparación quirúrgica borde-a-borde de la válvula mitral ha dado lugar al desarrollo conceptual de la reparación valvular mitral borde-a-borde transcatéter. No obstante, la diferencia principal entre ambas técnicas es de suma importancia. Mientras que el anillo de anuloplastía es una condición sine qua non para toda reparación mitral, la reparación transcatéter borde-a-borde es una técnica que carece de anillo. Así, la reparación valvular mitral borde-a-borde transcatéter se convierte en una técnica solo parcialemte efectiva para tratar la insuficiencia mitral. Hasta el momento, los criterios que rigen el uso de esta técnica transcatéter borde-a-borde como un procedimiento aislado sin anillo de anuloplastía, son prácticamente desconocidos. Por lo tanto, se debe hacer especial énfasis en las implicaciones potenciales que una técnica imperfecta como la terapia borde-a-borde transcatéter pueden tener sobre las tasas de supervivencia, la calidad de vida y la rehospitalización no planificada por falla cardiaca de los pacientes a largo plazo.


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