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Browsing by Author "Leyton Erazo, Maryi Tatiana"

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    Análisis comparativo del tratamiento percutáneo vs cirugía convencional de la insuficiencia mitral: Estado del arte
    (Universidad Santiago de Cali, 2023) Castillo Marmolejo, Nicole Andrea; Leyton Erazo, Maryi Tatiana; López López, María Nela
    Introduction: The most common valvular disorders affecting the structure of the heart is mitral insufficiency (MI), which is defined by backflow of blood from the left ventricle into the left atrium during ventricular contraction caused by damage to the valve leaflets. For this reason, two major groups can be described according to their etiology: primary mitral valve disease (PMV) and secondary mitral valve disease (SMV). Objective. To compare percutaneous MitraClip® vs surgical treatment of MI (1). Materials and Methods. A state of the art review was performed using databases: SAGE JOURNALS, ScienceDirect and Taylor&Francis Online, articles published between 2017 and 2022. Results. The benefits of MV repair by conventional technique allow greater success if the intervention is early, and percutaneous repair is safe, effective and feasible in patients considered inoperable, providing improved long-term quality of life. However, these treatments are not free of complications, the most frequent in conventional surgery being postoperative pain and prolonged hospitalization times, and the MitraClip® device, despite being a minimally invasive procedure, presents detachment of the clip and stroke. Conclusions. Currently, MI has proven to be the most common valvular heart disease in the aging population, due to the comorbidities that are present. This valvulopathy is attracting increasing interest in the medical community, based on current evidence percutaneous and conventional MV repair techniques offer a treatment alternative depending on anatomical criteria

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