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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
La estenosis mitral es una estenosis mitral.
Y Chandrashekhar1, Stephen Westaby, Jagat Narula
1Veterans Affairs Medical Center and University of Minnesota, Minneapolis, MN 55417, USA. shekh003@umn.edu
Lancet (London, England)
|September 15, 2009
Resumen
La estenosis mitral, una enfermedad prevalente de las válvulas cardíacas, causa enfermedades significativas a nivel mundial. Los tratamientos que mejoran el área de la válvula reducen la morbilidad, y la cirugía mejora la supervivencia; la valvuloplastia percutánea con globo puede ofrecer beneficios similares.
Área de la Ciencia:
- Cardiología Cardiología.
- Enfermedad Valvular del Corazón.
Sus antecedentes:
- La estenosis mitral es un problema de salud global común, prevalente en las naciones en desarrollo y emergente atípicamente en los países desarrollados.
- Esta condición contribuye significativamente a la morbilidad en todo el mundo.
Objetivo del estudio:
- Para revisar la patología, el diagnóstico y el tratamiento de la estenosis mitral.
- Discutir los beneficios comparativos de las intervenciones quirúrgicas y percutáneas.
Principales métodos:
- Revisión de la literatura sobre la patología, el diagnóstico y las opciones de tratamiento de la estenosis mitral.
- Análisis de los resultados de morbilidad y mortalidad asociados con diferentes modalidades de tratamiento.
Principales resultados:
- Todas las intervenciones que aumentan el área de la válvula mitral mejoran la morbilidad del paciente.
- La intervención quirúrgica mejora la mortalidad; la valvuloplastia percutánea con globo puede ofrecer beneficios similares en la mortalidad, lo que requiere más investigación.
- La valvuloplastia percutánea con globo es el tratamiento preferido para los pacientes indicados, incluidos aquellos con morfología valvular subóptima si la cirugía no es factible o conlleva un alto riesgo.
Conclusiones:
- El manejo efectivo de la estenosis mitral depende del aumento del área de la válvula, reduciendo así la morbilidad.
- La valvuloplastia percutánea con globo es una opción de tratamiento primaria, con beneficios potenciales de mortalidad comparables a la cirugía, especialmente cuando los riesgos quirúrgicos son altos.
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