Bypass Ventrículo aórtico en estenosis aórticas críticas.

Treatment of aortic stenosis with aortic valve byp...[J Thorac Cardiovasc Surg. 2009] - PubMed Result: "CONCLUSIONS: An aortic valve bypass conduit as small as 10 mm results in excellent relief of left ventricular outflow tract obstruction in critical aortic valve stenosis. The presence of an aortic valve bypass conduit has no effect on cerebral blood flow. All blood flow to the brain occurs via antegrade flow across the native stenotic valve; this configuration may decrease the long-term risk of cerebral thromboembolism."

Insuficiencia Mitral en cambio aórtico

Management of moderate functional mitral regurgita...[J Thorac Cardiovasc Surg. 2009] - PubMed Result: "CONCLUSION: Moderate functional mitral regurgitation improved in most patients after aortic valve replacement. Residual mitral regurgitation did not affect survival independently of left ventricular function."

Abordaje de Válvula Mitral en aurículas pequeñas

The transseptal T-cut--what more can we see? [J Card Surg. 2008 Sep-Oct] - PubMed Result: "An optimal approach to the mitral valve for repair or replacement must provide adequate exposure even in a small left atrial and redo cases, without need for forceful retraction. This benefit of good exposure must not be at the cost of increased morbidity from increased postoperative bleeding, SA node, or atrioventricular node dysfunction. We describe a simple technique of transseptal T-cut for exposure of the mitral valve, which is without the attendant complications of the other techniques."

Tto quirúrgico de la Endocarditis Bacteriana

Surgical therapy in patients with active infective...[Eur J Cardiothorac Surg. 2008] - PubMed Result: "CONCLUSIONS: The survival of patients differs significantly in dependence on their surgical urgency. Better outcome could have been achieved if patients had been referred earlier for surgery and operated upon before heart failure or septic shock developed. Long-term survival was better in patients without abscess formation. The low reinfection rate of Shelhigh bioprostheses in AIE is promising and the early and mid-term results achieved need to be verified in the long-term course."

Anticoagulación en prótesis cardiacas

Aniticoagulation in patients following prosthetic ...[Ann Thorac Cardiovasc Surg. 2009] - PubMed Result: "Conclusions: Anticoagulation for mechanical heart valve replacement can be managed with INR levels of 2-2.5 with acceptable hemorrhagic and thromboembolic events."

Cambio aórtico por toracotomía izquierda después de una cirugía de esófago.

Aortic valve replacement through left thoracotomy ...[Ann Thorac Surg. 2008] - PubMed Result:
Paciente con cirugía de esófago 14 años atrás, con tubo gástrico subesternal. Se abordó la válvula aórtica por toracotomía izquierda.
A 67-year-old man was referred for aortic valve surgery due to aortic valve regurgitation. He underwent an aortic valve replacement through a left thoracotomy, since he had a history of esophageal surgery with substernal gastric tube reconstruction and lymph node dissection through a right thoracotomy 14 years ago. The aortic valve was successfully replaced with excellent visualization using vacuum-assisted venous drainage on a cardiopulmonary bypass. Although exposing the aortic valve through a left thoracotomy is difficult, the application of vacuum-assisted venous drainage helps visualize the aortic valve in this approach."

Implante de válvula aórtica por cateter

Transcatheter valve implantation for patients with aortic stenosis...[Eur Heart J. 2008] - PubMed Result:
"CONCLUSION: Transcatheter aortic valve implantation is a promising technique, which may offer an alternative to conventional surgery for high-risk patients with aortic stenosis. Today, careful evaluation is needed to avoid the risk of uncontrolled diffusion."