Anterior lateral minithoracotomy as a surgical approach for aortic valve transplantation due to endocarditis.
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| Title: | Anterior lateral minithoracotomy as a surgical approach for aortic valve transplantation due to endocarditis. |
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| Authors: | Matamoros Román, Ariana Brigit1, López Rodríguez, Javier Arturo2, Alvarez Guachichulca, Javier Santiago1, de Lourdes López Rivera, María3 |
| Source: | Revista Médica de Risaralda. ene-jun2025, Vol. 31 Issue 1, p177-185. 9p. |
| Subjects: | AORTIC valve transplantation, INFECTIVE endocarditis, MINIMALLY invasive procedures, AORTIC valve insufficiency, MAGNETIC resonance |
| Abstract: | Introduction: Infective endocarditis is a destructive disease that affects the endothelium and other cardiac structures. It has a high mortality rate due to its difficult diagnosis. Timely surgical intervention in patients with clinical criteria or who have complications arising from this infectious process can be performed via minimally invasive surgery. Clinical case: A 66-year-old male patient with a history of arterial hypertension was transferred to the hospital with persistent fever during hospitalization for the management of a cerebrovascular event. Physical examination revealed a diastolic murmur in the aortic foci, and laboratory findings revealed leukocytosis. Echocardiogram and magnetic resonance revealed aortic regurgitation with a mobile vegetation on the non-coronary leaflet. He underwent antibiotic therapy and a right anterior minithoracotomy for valve replacement, with a favorable outcome. Conclusions: Minimally invasive cardiac surgery for infective endocarditis maintains the quality, effectiveness and safety of the conventional method, with differences in favor of the former in less tissue damage, earlier functional recovery and lower risk of complications. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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