Papilopexia cruzada com enxerto na substituição da valva mitral: relato de caso / Crossed papillopexy with graft in mitral valve replacement: case report
Rev. bras. cir. cardiovasc
;
23(3): 418-421, jul.-set. 2008. ilus
Article
in English, Portuguese
| LILACS
| ID: lil-500531
RESUMO
O objetivo deste artigo é mostrar a técnica da papilopexia cruzada com o uso de enxerto de pericárdio bovino na substituição mitral por fibrose e calcificação intensa valvar e subvalvar. Esta técnica permite a preservação funcional do aparelho subvalvar mitral e foi aplicada pela primeira vez, na literatura alcançada, em paciente portador de estenose mitral reumática calcificada, submetido a troca valvar mitral. O paciente evoluiu sem complicações, com alta hospitalar em seis dias. Controles ecocardiográficos mostraram função ventricular esquerda preservada sem interferência na dinâmica da prótese mitral.
ABSTRACT
The aim of this study is to present the crossed papillopexy technique using bovine pericardial graft in mitral replacement caused by intense valvar and subvalvar fibrosis and calcification. This technique allows the functional preservation of the mitral subvalvar apparatus and was successfully applied, by the first time as far as we known, in a patient with calcified rheumatic mitral stenosis, who underwent mitral valve replacement surgery. The patient had an uneventful recovery and was discharged home on postoperative day 6. Echocardiography controls showed normal left ventricular function without any interference on the mitral prosthesis dynamics.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Valve Insufficiency
/
Papillary Muscles
/
Rheumatic Heart Disease
/
Heart Valve Prosthesis Implantation
/
Mitral Valve
/
Mitral Valve Stenosis
Limits:
Animals
/
Female
/
Humans
Language:
English
/
Portuguese
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2008
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
ServCor/BR
/
Universidade Federal de Minas Gerais/BR
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