VÁLVULA AÓRTICA BIVALVA CON CAMBIOS DE DEGENERACIÓN MIXOIDE ASOCIADOS
Palabras clave:
degeneración valvular, aorta bivalva, degeneración mixoide, muerte súbita de origen cardiaco, estenosis aórtica.
Resumen
En la actualidad con el uso generalizado de los antibióticos, la fiebre reumática ha perdido el primer puesto como causa de afección de las válvulas del corazón, cediéndolo a otras patologías como el debilitamiento del tejido de la válvula ocasionado por la degeneración mixomatosa, el acumulación de calcio en las válvulas denomina degeneración cálcica, o el hecho mismo de nacer con una válvula de forma irregular como lo es válvula aortica bivalva. Precisamente, esto da pie a la presentación del caso de un joven masculino conocido sano de 16 años de edad el cual muere de forma súbita mientras practica el ciclismo de forma recreative.
Citas
1. Basso C, Boschello M, Perrone C, et al. Anechocardiographic survey of primary school children for bicuspid aortic valve. Am J Cardiol 2004; 93: 661-3.
2. Samuel C. Siu, et al. Bicuspid Aortic Valve Disease. Journal of the American College of Cardiology Vol. 55, No. 25, 2010. doi:10.1016/j.jacc.2009.12.068
3. Michelena HI, Desjardins VA, Avierinos JF, et al. Natural history of asymptomatic patients with normally functioning or minimally dysfunctional bicuspid aortic valve in the community. Circulation 2008; 117:2776–84.
4. Tzemos N, Therrien J, Yip J, et al. Outcomes in adults with bicuspid aortic valves. JAMA 2008;300:1317–25.
5. La Canna G, Ficarra E, Tsagalau E, et al. Progression rate of ascending aortic dilation in patients with normally functioning bicuspid and tricuspid aortic valves. Am J Cardiol 2006;98:249 –53.
6. Graham TP Jr., Driscoll DJ, Gersony WM, Newburger JW, Rocchini A, Towbin JA. Task Force 2: congenital heart disease. J Am Coll Cardiol 2005;45:1326 –33.
7. Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg 2007;133:1226 –33.
8. Ikonomidis JS, Jones JA, Barbour JR, et al. Expression of matrix metalloproteinases and endogenous inhibitors within ascending aortic aneurysms of patients with bicuspid or tricuspid aortic valves. J Thorac Cardiovasc Surg 2007;133:1028 –36.
9. Loscalzo ML, Goh DL, Loeys B, Kent KC, Spevak PJ, Dietz HC. Familial thoracic aortic dilation and bicommissural aortic valve: a prospective analysis of natural history and inheritance. Am J Med Genet A 2007;143A:1960–7.
10. Rashid A, Saucedo JF, Hennebry TA. Association of single coronary artery and congenital bicuspid aortic valve with review of literature. J Interv Cardiol 2005;18:389 –91.
11. Cripe L, Andelfinger G, Martin J, Shooner K, Benson DW. Bicuspid aortic valve is heritable. J Am Coll Cardiol 2004;44:138–43.
12. Robicsek F, Thubrikar MJ, Cook JW, Fowler B. The congenitally bicuspid aortic valve: how does it function? Why does it fail? Ann Thorac Surg 2004;77:177– 85.
13. Fernandes SM, Khairy P, Sanders SP, Colan SD. Bicuspid aortic valve morphology and interventions in the young. J Am Coll Cardiol 2007;49:2211– 4.
14. Pellikka PA, Sarano ME, Nishimura RA, et al. Outcome of 622 adults with asymptomatic, hemodynamically significant aortic stenosis during prolonged follow-up. Circulation 2005;111:3290 –5.
15. Beroukhim RS, Kruzick TL, Taylor AL, Gao D, Yetman AT. Progression of aortic dilation in children with a functionally normal bicuspid aortic valve. Am J Cardiol 2006;98:828 –30.
16. Cecconi M, Manfrin M, Moraca A, et al. Aortic dimensions in patients with bicuspid aortic valve without significant valve dysfunction. Am J Cardiol 2005;95:292– 4.
17. Della Corte A, Bancone C, Quarto C, et al. Predictors of ascending aortic dilatation with bicuspid aortic valve: a wide spectrum of disease expression. Eur J Cardiothorac Surg 2007;31:397– 404, discussion 404–5.
18. Guntheroth WG. A critical review of the American College of Cardiology/American Heart Association practice guidelines on bicuspid aortic valve with dilated ascending aorta. Am J Cardiol 2008;102:107–10.
19. Pape LA, Tsai TT, Isselbacher EM, et al., on behalf of International Registry of Acute Aortic Dissection (IRAD) Investigators. Aortic diameter _ or _ 5.5 cm is not a good predictor of type A aortic dissection: observations from the International Registry of Acute Aortic Dissection (IRAD). Circulation 2007;116:1120 –7.
20. Nistri S, Grande-Allen J, Noale M, et al. Aortic elasticity and size in bicuspid aortic valve syndrome. Eur Heart J 2008;29:472–9.
21. Friedman T, Mani A, Elefteriades JA. Bicuspid aortic valve: clinical approach and scientific review of a common clinical entity. Expert Rev Cardiovasc Ther 2008;6:235– 48.
22. Roberts WC, Ko JM. Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation 2005;111:920 –5.
23. Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). J Am Coll Cardiol 2008;52:e1–121.
2. Samuel C. Siu, et al. Bicuspid Aortic Valve Disease. Journal of the American College of Cardiology Vol. 55, No. 25, 2010. doi:10.1016/j.jacc.2009.12.068
3. Michelena HI, Desjardins VA, Avierinos JF, et al. Natural history of asymptomatic patients with normally functioning or minimally dysfunctional bicuspid aortic valve in the community. Circulation 2008; 117:2776–84.
4. Tzemos N, Therrien J, Yip J, et al. Outcomes in adults with bicuspid aortic valves. JAMA 2008;300:1317–25.
5. La Canna G, Ficarra E, Tsagalau E, et al. Progression rate of ascending aortic dilation in patients with normally functioning bicuspid and tricuspid aortic valves. Am J Cardiol 2006;98:249 –53.
6. Graham TP Jr., Driscoll DJ, Gersony WM, Newburger JW, Rocchini A, Towbin JA. Task Force 2: congenital heart disease. J Am Coll Cardiol 2005;45:1326 –33.
7. Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg 2007;133:1226 –33.
8. Ikonomidis JS, Jones JA, Barbour JR, et al. Expression of matrix metalloproteinases and endogenous inhibitors within ascending aortic aneurysms of patients with bicuspid or tricuspid aortic valves. J Thorac Cardiovasc Surg 2007;133:1028 –36.
9. Loscalzo ML, Goh DL, Loeys B, Kent KC, Spevak PJ, Dietz HC. Familial thoracic aortic dilation and bicommissural aortic valve: a prospective analysis of natural history and inheritance. Am J Med Genet A 2007;143A:1960–7.
10. Rashid A, Saucedo JF, Hennebry TA. Association of single coronary artery and congenital bicuspid aortic valve with review of literature. J Interv Cardiol 2005;18:389 –91.
11. Cripe L, Andelfinger G, Martin J, Shooner K, Benson DW. Bicuspid aortic valve is heritable. J Am Coll Cardiol 2004;44:138–43.
12. Robicsek F, Thubrikar MJ, Cook JW, Fowler B. The congenitally bicuspid aortic valve: how does it function? Why does it fail? Ann Thorac Surg 2004;77:177– 85.
13. Fernandes SM, Khairy P, Sanders SP, Colan SD. Bicuspid aortic valve morphology and interventions in the young. J Am Coll Cardiol 2007;49:2211– 4.
14. Pellikka PA, Sarano ME, Nishimura RA, et al. Outcome of 622 adults with asymptomatic, hemodynamically significant aortic stenosis during prolonged follow-up. Circulation 2005;111:3290 –5.
15. Beroukhim RS, Kruzick TL, Taylor AL, Gao D, Yetman AT. Progression of aortic dilation in children with a functionally normal bicuspid aortic valve. Am J Cardiol 2006;98:828 –30.
16. Cecconi M, Manfrin M, Moraca A, et al. Aortic dimensions in patients with bicuspid aortic valve without significant valve dysfunction. Am J Cardiol 2005;95:292– 4.
17. Della Corte A, Bancone C, Quarto C, et al. Predictors of ascending aortic dilatation with bicuspid aortic valve: a wide spectrum of disease expression. Eur J Cardiothorac Surg 2007;31:397– 404, discussion 404–5.
18. Guntheroth WG. A critical review of the American College of Cardiology/American Heart Association practice guidelines on bicuspid aortic valve with dilated ascending aorta. Am J Cardiol 2008;102:107–10.
19. Pape LA, Tsai TT, Isselbacher EM, et al., on behalf of International Registry of Acute Aortic Dissection (IRAD) Investigators. Aortic diameter _ or _ 5.5 cm is not a good predictor of type A aortic dissection: observations from the International Registry of Acute Aortic Dissection (IRAD). Circulation 2007;116:1120 –7.
20. Nistri S, Grande-Allen J, Noale M, et al. Aortic elasticity and size in bicuspid aortic valve syndrome. Eur Heart J 2008;29:472–9.
21. Friedman T, Mani A, Elefteriades JA. Bicuspid aortic valve: clinical approach and scientific review of a common clinical entity. Expert Rev Cardiovasc Ther 2008;6:235– 48.
22. Roberts WC, Ko JM. Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation 2005;111:920 –5.
23. Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). J Am Coll Cardiol 2008;52:e1–121.
Publicado
2020-11-13
Cómo citar
Quesada Brenes, F. (2020). VÁLVULA AÓRTICA BIVALVA CON CAMBIOS DE DEGENERACIÓN MIXOIDE ASOCIADOS. Medicina Legal De Costa Rica, 34(1). Recuperado a partir de //www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/57
Sección
Reportes de caso
La propiedad intelectual de los trabajos aceptados es de sus autores, no obstante el acceso a ellos es totalmente abierto y gratuito, por lo que podrán ser reproducidos total o parcialmente con la única limitación de reconocer la autoría y la fuente de publicación ( Revista Medicina Legal de Costa Rica), siempre y cuando dicha explotación no tenga carácter comercial.
