In developing countries, limited resources and low health budgets result in slow developments in the field of cardiac surgery. As a consequence, advances in surgery become a challenging process. In Colombia, most institutions do not have the capacity or infrastructure for minimally invasive and video-assisted cardiac surgery, let alone robotic assisted cardiac surgery (RACS). Despite the challenges, efforts to overcome these hurdles are critical for the future of cardiac surgery in low-income settings. Here we describe the first cases of robotic cardiac surgeries performed in Colombia.
El procedimiento de Manougian es una de las técnicas empleadas para la ampliación del anillo aórtico en los casos de anulus pequeño o discordancia válvulo-protésico-paciente, que se utiliza con el fin de implantar una válvula de mayor tamaño y así evitar las complicaciones derivadas de una prótesis pequeña para el área corporal del paciente. Se presenta el caso de una mujer adulta joven con antecedente de reemplazo valvular aórtico el cual se encuentra con estenosis severa, quien presenta en el intraoperatorio un anillo valvular estrecho que requiere de las técnicas de ampliación del anillo aórtico para la implantación de una prótesis adecuada.
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