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Sostituzione Valvolare Aortica

Pubblicato da Dr.Guidalberto Guidi in Malattia Cuore · 19/7/2010 12:28:00
Tags: Sostituzione, Valvolare, Aortica
La tecnologia permette una accuratezza maggiore nella diagnosi e nel trattamento delle malattie delle valvole cardiache. Le tecniche di acquisizione delle immagini permettono di esplorare il cuore e individuare problemi specifici riguardanti le valvole cardiache e altre parti del cuore.

Sono state sviluppate anche tecniche chirurgiche nuove e meno invasive che utilizzano apparati robotici e strumenti endoscopici per il monitoraggio del cuore.

Molte di queste conquiste tecnologiche sono utilizzabili per la chirurgia delle valvole cardiache e possono essere usate per riparare una valvola o per sostituirla con una protesi. Il numero crescente di tecniche chirurgiche oggi disponibili permette ai pazienti di beneficiare di uno specifico tipo di intervento che meglio si adatta al loro caso permettendo anche il recupero piùveloce dopo una operazione.

Differenza tra un intervento di riparazione ed un intervento di sostituzione di una valvola cardiaca

L’intervento di riparazione si esegue:

  • su una valvola la cui apertura è troppo stretta e non permette il normale passaggio del sangue (stenosi)
  • su una valvola non continente e pertanto non in grado di impedire il reflusso del sangue nella camera, atrio o ventricolo, retrostante (insufficienza). La struttura anatomica della valvola mitrale la rende, quando malfunzionante, particolarmente adatta ad una chirurgia ricostruttiva.

La valvola mitrale si può riparare separando le commissure che si sono fuse restringendo la normale apertura della valvola (alterazione caratteristica della malattia reumatica). La riparazione di una valvola mitrale insufficiente può essere ottenuta asportando piccoli segmenti di lembo posteriore ridondante, impiantando corde sintetiche che sostituiscono quelle naturali rotte, oppure inserendo una protesi anulare per stringere e rimodellare l’anello della valvola mitrale quando questo è dilatato.

I termini anuloplastica e valvuloplastica sono utilizzati per descrivere questo tipo di chirurgia.

In questi 3 video è possibile vedere le varie fasi di una sostituzione valvolare aortica



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