Reparación valvular en la endocarditis mitral
Metadatos
Afficher la notice complèteAuteur
Garzón Furné, Ana I.; Ferreiro Marzal, Andrea; Rodríguez Serrano, Fernando; Esteban Molina, María; García Orta, Rocío; Moreno Escobar, Eduardo; Sevilla Martínez, María; Gómez Luque, José María; Ocete Hita, Esther; Rodríguez Vázquez del Rey, María del Mar; Nuila Durán, Luis M.; Garrido, José M.Editorial
Elsevier
Materia
Endocarditis infecciosa Neocuerdas Reconstrucción valvular Reemplazo valvular Reparación mitral Infective endocarditis Neochords Valve reconstruction Valve replacement Mitral repair
Date
2023-07Referencia bibliográfica
A.I. Garzón-Furné, A. Ferreiro-Marzal, F. Rodríguez-Serrano et al. Reparación valvular en la endocarditis mitral. Cirugía Cardiovascular 30 (2023) S28–S33[https://doi.org/10.1016/j.circv.2022.09.005]
Résumé
Introduction: Infective endocarditis (IE) is a pathology with a high morbidity and mortality rate andrepresents a growing public health problem. Surgical treatment is necessary in more than half of thecases, and its main purpose is to completely remove the infected tissue and reconstruct normal cardiacanatomy, including repair or replacement of the affected valve(s).Objectives and methods: The present study focuses on describing the most appropriate procedure formitral repair surgery in cases of IE, based on the literature and the extensive experience gained by thesurgical team. Likewise, we have compiled through a systematic search of the literature the results thathave been reported on reparative surgery compared to mitral valve replacement
Results: The surgical technique described requires a thorough study of the degree of involvement anddestructuring of the different valve segments. We consider resection with pericardial patch interpositionand/or Goretex®neochord implantation to be the standard technique that allows reproducible results. Thestructured review of the available scientific evidence verifies the safety of mitral repair for the treatmentof IE, providing significant benefits compared to valve replacement.Conclusion: The evaluated surgical results suggest that mitral repair surgery should be considered theprocedure of choice for the surgical treatment of IE, whenever technically feasible