Ghidul privind diagnosticul şi managementul sincopei - Romanian ...

Romanian Journal of Cardiology
Vol. 26(21), No. 2, 2011
tie 19 . Rezultatele pe termen scurt și mediu sunt bune,
fără regurgitare reziduală sau stenoză mitrală funcţională
20,21 . Noi am folosit această tehnică pentru cele 4
ca zuri de boală Barlow și pentru un caz de ruptură de
cor daje A1 asociată cu o VMP hipertrofi că, unde s-au
im plantat și 2 neocordaje pe VMA, iar ecografi ile de
con trol au demonstrat absenţa modifi cărilor ulterioare.
Se poate observa că există un întreg arsenal de tehnici
care se adresează insufi cienţei mitrale degenerative.
Pe lângă rezultatele bune ale utilizării lor, un
alt avantaj îl constituie duratele reduse de CEC și de
clam pare a aortei. Acești timpi mici se corelează cu o
mor ta litate scăzută și cu o recuperare mai bună postopera
torie (perioadă scurtă petrecută în ATI, necesar
far macologic scăzut, număr mic de complicaţii, spitalizare
scurtă) 22 . După cum am menţionat, mortalitatea
peri- și post operatorie imediată în studiul nostru a fost
nulă.
CONCLUZII
Plastia de valvă mitrală este o operaţie care, pe termen
me diu, se soldează cu rezultate foarte bune, cu o rată
re dusă a complicaţiilor și cu mortalitate foarte mică.
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