Publications by authors named "Josue Sisniegas-Razon"
Aortic valve replacement through minithoracotomy. Results from the Peruvian experience.
Arch Peru Cardiol Cir Cardiovasc
June 2022
Objectives: To assess mortality, major valve-related events (MAVRE), and other complications in the perioperative period and follow up in patients with aortic valve replacement (AVR) through mini-thoracotomy (MT).
Methods: We retrospectively analyzed patients aged <80 who underwent AVR through MT between January 2017 and December 2021 in a national reference center in Lima, Peru. Patients undergoing other surgical approaches (mini-sternotomy, etc.
We present a 64-year-old woman who underwent mitral, aortic, and tricuspid valve (TV) replacement with mechanical prostheses. Two months after TV surgery, she presented third-degree atrioventricular block. After attempting to place a pacemaker lead through the coronary sinus, it was placed through the mechanical valve in the tricuspid position as the last option.
View Article and Find Full Text PDFArticle Synopsis
- Pulmonary valve surgery in adults is rare but suggested when needed, typically involving prosthetic replacement.
- Mechanical prostheses pose risks related to blood clots and need for blood thinners, while biologic ones lack long-term durability.
- PV reconstruction surgery offers a promising alternative, avoiding anticoagulation and showing good durability, as demonstrated in four patients with severe valve issues.