Anuloplastia

Perspectiva general

An annuloplasty is a procedure to tighten or reinforce the ring around a valve in the heart. This may be performed during other procedures to repair a heart valve.

Por qué se debe hacer

The ring around a valve in the heart (annulus) can widen and change from its normal shape. This may occur when the heart is enlarged or when blood is leaking backward through the valve. The widening of the ring can cause the valve flaps (leaflets) attached to the ring not to open and close properly, which can cause blood to leak backward through the valve.

In some people, calcium deposits can build up on the ring, which can cause the valve flaps not to work properly and lead to blood leaking backward.

To repair these issues, an annuloplasty or other valve repair procedures may be performed. An annuloplasty may be done to reshape, reinforce or tighten the ring around a heart valve (annulus).

Lo que usted puede esperar

To perform this procedure, doctors measure the size of the existing ring. Doctors then sew a ring (band) to the existing ring around the valve. The ring may be rigid or flexible.

Doctors may perform annuloplasty alone or may combine annuloplasty with other techniques to repair a heart valve.

This procedure can be done during open-heart surgery or minimally invasive heart surgery, which involves smaller incisions.

Doctors are also researching less invasive procedures to conduct annuloplasty and other heart valve procedures using long, thin tubes (catheters).

June 22, 2017
References
  1. Otto CM, et al. Mitral valve repair and replacement (Reparación y reemplazo de la válvula mitral). En: Valvular Heart Disease: A Companion to Braunwald’s Heart Disease (Enfermedad cardíaca valvular: un complemento para la enfermedad cardíaca de Braunwald). 4.ª ed. Filadelfia, Pa.: Elsevier Saunders; 2014.
  2. Nishimura RA, et al. Mitral valve disease — Current management and future challenges (Enfermedad de la válvula mitral: tratamiento actual y desafíos futuros). Lancet. 2016;387:1324.
  3. Ruiz CE, et al. Transcatheter therapies for the treatment of valvular and paravalvular regurgitation in acquired and congenital valvular heart disease (Terapias transcatéter para el tratamiento de la insuficiencia valvular y paravalvular en la enfermedad cardíaca valvular adquirida y congénita). Journal of the American College of Cardiology (Revista del Colegio Estadounidense de Cardiología). 2015;66:169.
  4. Fuster V, et al., eds. Insuficiencia de la válvula mitral. En: Hurst’s The Heart (El corazón, de Hurst). 13.ª ed. Nueva York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com. Último acceso: 29 de septiembre de 2016.
  5. Bonow RO, et al., eds. Valvular heart disease (Enfermedad de las válvulas cardíacas). En: Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine (Enfermedad cardíaca de Braunwald: un libro sobre medicina cardiovascular). 10.ª ed. Filadelfia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Último acceso: 16 de agosto de 2016.
  6. Algarni KD, et al. Robot-assisted mitral valve repair: Surgical technique, outcomes and perspective (Reparación de la válvula mitral asistida por robot: técnica quirúrgica, resultados y perspectiva). Multimedia Manual of Cardiothoracic Surgery (Manual Multimedia de Cirugía Cardiotorácica). 2014;2014:e1. Último acceso: 15 de agosto de 2016.

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