at the Institute of medicine Cardiovascular of the Italian Hospital of Buenos Aires took place, for the first time in the Argentina, the replacement of aortic valve from the combination of surgical techniques and homodynamic, using the artery aorta as access.
The patient, 85 years, suffered from a narrowing of the aortic valve associated with old age, and was unable to break through conventional surgery.
The procedure consists in placing a valvular prosthesis through a minimum opening of the chest (surgical technique) and the direct puncture of the aortic artery, where the prosthesis is inserted and guided up to the heart (homodynamic technique).
Valve replacement was carried out without the need to stop the functioning of the heart of the patient which, after 5 days of hospitalization, was given high, with an aortic working properly bioprótesis.
This technique is new to our country and enables the replacement of heart valves in a way less invasive than conventional surgery and thus treat considered high-risk or non-surgical patients by age or State of health. The hybrid operating room in which it is possible to make this type of intervention is a room of homodynamic, cardiovascular imaging equipment, with everything you need to perform surgery.
Currently, the replacement of heart valves can be done by conventional heart surgery through the opening of the chest, entering through the groin or neck through an artery peripheral or, finally, from the combination of both techniques by direct puncture of artery aorta or heart. In the Italian Hospital, a multidisciplinary team shapes the program of aortic valve implant and decide together what is the appropriate approach in each case.
