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• W2000689930 abstract "El mecanismo más frecuente de regurgitación mitral isquémica es la restricción de movimiento de los velos en sístole (tipo IIIb de Carpentier). La anuloplastia es la técnica más aceptada para su reparación. El nuevo anillo protésico Carpentier-Mc-Carthy-Adams IMR Etlogix® fue diseñado para tratar cada una de las peculiaridades de esta entidad, principalmente la dilatación anular asimétrica. En este estudio revisamos las bases de creación del anillo y describimos nuestra experiencia clínica inicial. Se intervino a 40 pacientes (edad, 68 ± 10 años) de regurgitación mitral isquémica de tipo IIIb (grados 3+/4+) mediante el nuevo anillo protésico entre diciembre de 2003 y junio de 2005. Los procedimientos asociados fueron la revascularización coronaria (n = 27 [68%]), la valvuloplastia tricuspídea (n = 10 [25%]) y la técnica modificada de Maze (n = 9 [22%]). La estimación del riesgo quirúrgico por EuroSCORE fue del 17% ± 11%. La mortalidad hospitalaria fue del 2,5% (n = 1). La morbilidad postoperatoria incluyó 1 caso de accidente cerebrovascular (2,5%), 1 caso de insuficiencia renal (2,5%) y 4 casos de insuficiencia respiratoria (10%). El estudio ecocardiográfico previo al alta hospitalaria reveló la ausencia de regurgitación mitral en 36 pacientes (92%) y regurgitación de grado leve en 3 (8%). Se obtuvo el seguimiento ecocardiográfico a largo plazo de 36 pacientes (92%; intervalo de seguimiento, 15-34 meses), y se objetivó una tasa de recurrencia (grado ≥ 2+) del 3% (n = 1). El anillo de Carpentier-McCarthy-Adams IMR Etlogix® corrige de manera efectiva la regurgitación mitral isquémica de tipo IIIb. La nueva conformación tridimensional asimétrica afronta las características anatomopatológicas de este tipo de disfunción y puede aportar excelentes resultados a largo plazo. The most common mechanism underlying ischemic mitral regurgitation is restricted leaflet motion during systole (Carpentier's type IIIb). Annuloplasty is the preferred technique for surgical repair. The new Carpentier–McCarthy–Adams IMR Etlogix® prosthetic annuloplasty ring was designed specifically to address the particular peculiarities of this condition, principally asymmetric annular dilatation. The aims of this study were to review the rationale underlying the creation of the ring and to report our early clinical experience. The study included 40 patients with type-IIIb ischemic mitral regurgitation (grade 3+/4+) who underwent mitral value reconstruction using the new prosthetic ring between December 2003 and June 2005. Their mean age was 68±10 years. Concomitant procedures included coronary artery bypass grafting (n=27, 68%), tricuspid valvuloplasty (n=10, 25%), and a modified Maze procedure (n=9, 22%). The mean predicted EuroSCORE mortality for surgery was 17±11%. In-hospital mortality was 2.5% (n=1). Major postoperative morbidities included one case of stroke (2.5%), one renal failure (2.5%), and four respiratory failures (10%). Predischarge echocardiography revealed no mitral regurgitation in 36 patients (92%) and mild regurgitation in three (8%). Long-term followup echocardiography was carried out in 36 patients (92%) after 15–34 months, and showed that the rate of recurrence of (grade ≥2+) mitral regurgitation was 3% (n=1). The Carpentier–McCarthy–Adams IMR Etlogix(r) annuloplasty ring was effective in correcting type-IIIb ischemic mitral regurgitation. Its novel threedimensional asymmetric shape is designed to deal with the anatomical and pathological characteristics of the condition and its use may, therefore, result in an excellent long-term outcome." @default.
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• W2000689930 date "2007-11-01" @default.
• W2000689930 modified "2023-10-16" @default.
• W2000689930 title "Anuloplastia remodeladora mediante un anillo específico para la reparación de la regurgitación mitral isquémica de tipo IIIb" @default.
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• W2000689930 doi "https://doi.org/10.1157/13111787" @default.
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