Evolução tardia da comissurotomia mitral em pacientes reumáticos com baixo escore ecocardiográfico

Souza, Luciano Rapold; Brandão, Carlos Manuel de Almeida; Pomerantzeff, Pablo Maria Alberto; Filho, Osanam Amorim Leite; Cardoso, Luiz Francisco; Stolf, Noedir Antônio Groppo

doi:10.5935/1678-9741.20110012

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…The quality and long-term results in rheumatic disease are controversial and therefore a limiting factor is the evolving character of valve degeneration in this disease. However, the repair in rheumatic patients, when feasible from a technical standpoint and valve morphology, have satisfactory results in the long term, and must always appear as an alternative surgical [16,17].…”

Section: Characteristics Of the Surgical Proceduresmentioning

confidence: 99%

Impact of socio-economic profile on the prosthesis type choice used on heart surgery

Fernandes

Bitencourt

Lessa³

et al. 2012

Rev Bras Cir Cardiovasc

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Background: Valvar heart disease is an important public health problem, more common in developing countries, especially in younger.Objective: To evaluate the epidemiological features of patients and its influence on the prosthesis type choice used on patients who underwent valve surgery.Methods: Cross-sectional. Data such as age, sex, provenance, surgery procedure and prosthesis type were retrospectively analyzed. We reviewed 366 charts of all patients submitted to heart valve surgery during three years in a public health cardiovascular treatment center.Results: 52% of patients were female. The age range was from 5 to 82, the median was 41 years old. In regards 37.7% of patients came from Salvador (Bahia, Brazil) and 62.3% from countryside. Valve replacement was performed in 73% of patients, whereas 7.38% underwent valvuloplasty and 18.3% underwent valve repair and replacement. Regarding type of prosthesis, 70.0% received bioprosthesis and 30.0% received metal prosthesis. On note bioprosthesis were more used in younger (66 vs. 14; P<0,001).Conclusion: Biological prostheses were used predominantly in younger. This might be possible due to a low social-economic status, avoiding metal valve implantation and the consequent anticoagulation therapy. Descriptors: Heart valve diseases. Prosthesis implantation. Socioeconomic factors.Resumo Introdução: A doença cardíaca valvar é um grave problema de saúde pública, mais frequente em países em desenvolvimento, acometendo indivíduos em idade laboralmente produtiva.Objetivo: Avaliar o perfil socioeconômico e RBCCV 44205-1373

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Section: Characteristics Of the Surgical Proceduresmentioning

confidence: 99%

Impact of socio-economic profile on the prosthesis type choice used on heart surgery

Fernandes

Bitencourt

Lessa³

et al. 2012

Rev Bras Cir Cardiovasc

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“…Conservative management of mitral insufficiency is an alternative technique with attractive features [1][2][3][4][5]. Among the many advocates of valve repair, Alain Carpentier is the best-known [6].…”

Section: Introductionmentioning

confidence: 99%

Conservative surgical management of mitral insufficiency: an alternative approach

Gregori¹

2012

Rev Bras Cir Cardiovasc

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Mitral valve insufficiency is frequently the result of elongated or ruptured chordae tendineae. Several techniques have been described for its correction. However, when there is a severe elongation or rupture of the chordae, the most widely accepted treatment option has been valve replacement. The best long-term outcomes observed in conservative surgeries led us to choose this procedure rather than the correction of mitral valve insufficiency. We described three techniques for correction of mitral prolapse due to elongated and/or ruptured chordae tendineae. In addition, we developed mold pre built bovine pericardial chords (Braile-Gregori prosthesis) for chordae replacement. Finally, since 1987, the rigid prosthetic semicircular ring (Gregori-Braile ring) has been consistently used in our centre for correction of the posterior dilation of mitral annulus preferably in its portion close to the posteromedial commissure. Descriptors: Mitral valve/surgery. Mitral valve insufficiency. ResumoA insuficiência mitral é frequentemente resultado do alongamento ou ruptura das cordas tendíneas. Várias técnicas foram descritas para sua correção. Entretanto, quando o comprometimento das cordas é mais intenso, a substituição valvar tem sido mais usualmente empregada. Os bons resultados a longo prazo observados na cirurgia conservadora têm nos levado a eleger esse procedimento como prioridade. Três técnicas foram por nós desenvolvidas para correção de alongamento e/ou ruptura de cordas tendíneas. Além disso, desenvolvemos uma prótese de pericárdio bovino para a substituição de cordas (prótese Braile-Gregori). Finalmente, desde 1987 empregamos o anel rígido semicircular (anel GregoriBraile) para a correção do alongamento posterior do anel mitral, com ênfase na sua porção junto à comissura póstero-medial. Descritores: Valva mitral/cirurgia. Insuficiência da valva mitral.RBCCV

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Evolução tardia da comissurotomia mitral em pacientes reumáticos com baixo escore ecocardiográfico

Cited by 2 publications

References 24 publications

Impact of socio-economic profile on the prosthesis type choice used on heart surgery

Impact of socio-economic profile on the prosthesis type choice used on heart surgery

Conservative surgical management of mitral insufficiency: an alternative approach

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