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Tricuspidization de la válvula aórtica bicúspide con regurgitación aórtica
Yutaka Okita1, Satoshi Numata2, Hisao Suda3
1Takatsuki General Hospital.
The Annals of thoracic surgery
|August 24, 2025
Resumen
La tricospidación es una técnica viable para pacientes seleccionados con válvula aórtica bicúspide (VAB) y regurgitación aórtica grave (RA). Los primeros resultados demuestran resultados aceptables, por lo que es una opción prometedora para anatomías específicas.
Área de la Ciencia:
- Cirugía cardiovascular
- Reparación de las válvulas cardíacas
- Cirugía torácica
Sus antecedentes:
- La válvula aórtica bicúspide (VAB) es un defecto cardíaco congénito común.
- La regurgitación aórtica grave (RA) en BAV a menudo requiere intervención quirúrgica.
- La tricuspidization ofrece una estrategia de reparación potencial para las anatomías complejas de BAV.
Objetivo del estudio:
- Para detallar la técnica de tricuspidization para la válvula aórtica bicúspide (BAV).
- Evaluar los primeros resultados clínicos de este método de reparación de BAV.
Principales métodos:
- Se realizó una tricospidación en seis pacientes con VAB altamente asimétrica y tres senos paranasales.
- La técnica quirúrgica implicó elevar la porción central de la cúspide fundida y resuspender la cúspide no fundida.
- Las medidas anatómicas clave incluyeron la altura de la cúspide y el diámetro del anillo basal.
Principales resultados:
- No se observó mortalidad temprana o tardía.
- La regurgitación aórtica postoperatoria (RA) fue trazable a leve inicialmente, con un caso moderado en el seguimiento (5-34 meses).
- El gradiente de presión promedio fue de 6,9 mmHg y el área del orificio de la válvula fue de 2,10 cm2.
Conclusiones:
- La tricospidación de BAV es una opción quirúrgica temprana aceptable para pacientes cuidadosamente seleccionados.
- Los resultados favorables dependen de la anatomía adecuada del paciente para el procedimiento.
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