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Reemplazo de triple válvula después de endocarditis infecciosa recurrente e infección previa por COVID-19
D A Podchasov1, V A Ivanov1, E P Evseev1
1Petrovsky National Research Center of Surgery, Moscow, Russia.
Khirurgiia
|December 25, 2025
Resumen
Este estudio detalla un reemplazo exitoso de triple válvula en un paciente con endocarditis infecciosa recurrente después de COVID-19. La compleja cirugía cardíaca implicó reemplazos de válvula mitral, aórtica y tricúspide de nuevo.
Área de la Ciencia:
- Cardiología
- Cirugía Cardíaca
- Enfermedades Infecciosas
Sus antecedentes:
- La endocarditis infecciosa recurrente presenta desafíos significativos en la cirugía cardíaca.
- La infección por COVID-19 se ha relacionado con un mayor riesgo de complicaciones cardiovasculares, incluida la endocarditis.
- La cirugía valvular previa aumenta la complejidad en los procedimientos de nuevo.
Objetivo del estudio:
- Informar un caso de reemplazo exitoso de triple válvula en un paciente con endocarditis infecciosa recurrente post-COVID-19.
- Destacar la viabilidad de la cirugía cardíaca compleja en pacientes de alto riesgo.
Principales métodos:
- El paciente se sometió a un reemplazo de válvula mitral de nuevo.
- Se realizó un reemplazo de válvula aórtica.
- También se completó un reemplazo de válvula tricúspide.
- Los procedimientos quirúrgicos se llevaron a cabo en un paciente con un EuroSCORE II alto (19,24%).
Principales resultados:
- Se logró un reemplazo exitoso de triple válvula.
- El paciente se recuperó del complejo procedimiento cardíaco.
- La intervención abordó la endocarditis infecciosa recurrente.
Conclusiones:
- El reemplazo de triple válvula de nuevo es una opción viable para pacientes seleccionados con endocarditis infecciosa recurrente post-COVID-19.
- La cirugía cardíaca compleja se puede realizar con éxito incluso en personas de alto riesgo.
- El manejo de las complicaciones cardíacas post-COVID-19 requiere enfoques quirúrgicos personalizados.
Palabras clave:
infección por COVID-19endocarditis infecciosareemplazo de válvula de nuevoreemplazo de válvula tricúspideMás Videos Relacionados
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