Rodríguez RV, Tarrago LY, de Arasoza HA, Salvatierra TVH, García GM, Bueno BO

Language: Spanish
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ABSTRACT

Currently, conventional surgery is the standard for implanting biological or mechanical prostheses in the treatment of symptomatic aortic stenosis. Despite this, minimally invasive aortic valve replacement shows excellent results, which has allowed international centers of reference and prestige such as the Cleveland Clinic and Johns Hopkins, to be practiced as a standardized treatment in aortic valve replacement. We present a 45-year-old male patient who was admitted to congestive heart failure in a NYHA functional class III, with a diagnosis of double aortic lesion with predominance of severe stenosis, with a valvular area of 0.7 cm², a mean gradient of 60mmHg, moderate left ventricle systolic dysfunction and chronic renal failure. It was accessed by an 8 cm incision through a superior miniesternotomy in J, with central cannulation for cardiopulmonary bypass. Valvular replacement was performed by a 21 mm diameter mechanical prosthesis. The patient progressed satisfactorily and was discharged on the 7th postoperative day. Minimally invasive aortic valve replacement is a reproducible technique in our environment as the literature shows. In this way, the way is opened for the implementation of this approach in the country, with the final purpose of extending the benefits of this method to our patients.