<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332017000200140</article-id>
<article-id pub-id-type="doi">10.1016/j.rccar.2016.07.007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de los resultados de la cirugía reconstructiva del esqueleto mitroaórtico en la endocarditis infecciosa activa]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of the results of surgical reconstruction of the mitroaortic skeleton in active infective endocarditis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sartor]]></surname>
<given-names><![CDATA[Lucio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Valdiris]]></surname>
<given-names><![CDATA[Ulises]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antonio Blázquez]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Al Razzo]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa García]]></surname>
<given-names><![CDATA[José María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario La Paz  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>140</fpage>
<lpage>145</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332017000200140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332017000200140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332017000200140&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La cirugía en la endocarditis infecciosa activa con múltiples abscesos y destrucción del cuerpo fibroso intervalvular, representa un procedimiento de alta exigencia técnica y de difícil manejo postoperatorio. Se presenta la experiencia con una técnica original de resección radical y reconstrucción posterior con pericardio bovino.  Material y métodos:  En los últimos ocho años en nuestro centro se intervinieron 29 pacientes con endocarditis infecciosa activa y abscesos paravalvulares que destruían la unión mitro-aórtica (20 sobre prótesis y 9 sobre válvula nativa): 13 de ellos llegaron al quirófano en situación de sepsis grave. El EuroScore I medio de la serie fue 36 ±22,7%. Para tratarlos se realizó una resección amplia del tejido infectado y posterior reconstrucción del cuerpo fibroso con pericardio bovino fijado en glutaraldehído, mediante una técnica original.  Resultados:  La mortalidad hospitalaria de la serie fue del 20,7%. El seguimiento medio fue de 34,2 ± 28 meses con un máximo de 8 años. Dos pacientes requirieron reintervención a causa de fugas periprotésicas aórticas. Se registró una sola recidiva del proceso infeccioso. Dos pacientes fallecieron durante el seguimiento posterior al alta, por causas no cardíacas.  Conclusiones: La resección amplia de la unión mitro-aórtica y la posterior reconstrucción con pericardio bovino, en algunos casos puede ser la única opción quirúrgica para salvar la vida de un paciente. Los autores consideran que la técnica presentada es un procedimiento reproducible, con morbilidad y mortalidad aceptables, y con el que se minimizaría el riesgo de recidivas futuras.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction : Surgical intervention of active infective endocarditis with multiple abscesses and destruction of the intervalvular fibrous body represents a technically demanding procedure with a difficult postoperative management. The experience is presented with an original technique for radical resection and subsequent reconstruction using bovine pericardium.  Material and methods:  During the last eight years in our centre 29 patients with active infective endocarditis and paravalvular abscesses that destroyed the microaortic union underwent surgery (20 over prosthesis and 9 over native valve): 13 of them reached the operating room with severe sepsis. Average EuroScore I of the series was 36 ± 22.7%. Treatment consisted of a broad resection of infected tissue and subsequent reconstruction of the fibrous body with glutaraldehyde fixed bovine pericardium, by means of an original technique.  Results:  Hospital mortality of the series was 20.7%. Average follow-up was 34.2 ± 28 months, with a maximum of 8 years. Two patients required a reoperation due to periprosthetic aortic valve leaks. Only one relapse of the infectious process was registered. Two patients passed away during follow-up after discharge, for non-cardiac reasons.  Conclusion:  Broad resection of the mitroaortic union and subsequent reconstruction with bovine pericardium can in some cases be the only surgical option to save a patient's life. The authors consider that the presented technique is a repeatable procedure, with acceptable morbidity and mortality, that would minimise the risk of future recurrence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Endocarditis]]></kwd>
<kwd lng="es"><![CDATA[Endocarditis protésica]]></kwd>
<kwd lng="es"><![CDATA[Fuga perivalvular]]></kwd>
<kwd lng="es"><![CDATA[Infección]]></kwd>
<kwd lng="es"><![CDATA[Cirugía cardiaca]]></kwd>
<kwd lng="en"><![CDATA[Endocarditis]]></kwd>
<kwd lng="en"><![CDATA[Prosthetic endocarditis]]></kwd>
<kwd lng="en"><![CDATA[Perivalvular leak]]></kwd>
<kwd lng="en"><![CDATA[Infection]]></kwd>
<kwd lng="en"><![CDATA[Cardiac surgery]]></kwd>
</kwd-group>
</article-meta>
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