<?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>S0120-56332025000100025</article-id>
<article-id pub-id-type="doi">10.24875/rccar.23000104</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en el recambio valvular aórtico mediante diferentes accesos quirúrgicos entre 2018 y 2021: estudio de corte transversal]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in aortic valve replacement using different surgical accesses between 2018 and 2021: a cross-sectional study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa-Casanova]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saavedra-Henao]]></surname>
<given-names><![CDATA[Juan D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Rivera]]></surname>
<given-names><![CDATA[Carlos J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa-Legarda]]></surname>
<given-names><![CDATA[Juan S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán-Rincón]]></surname>
<given-names><![CDATA[Diego A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar-Barrero]]></surname>
<given-names><![CDATA[Raúl G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arboleda-Cárdenas]]></surname>
<given-names><![CDATA[Valentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Avidanti Departamento de Cirugía Cardiovascular ]]></institution>
<addr-line><![CDATA[Ibagué ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad El Bosque Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad El Bosque Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad del Tolima Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ibagué ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332025000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332025000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332025000100025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: En la actualidad, el reemplazo valvular aórtico es una de las cirugías cardíacas que más se realiza. Durante décadas, se hizo por vía abierta (esternotomía media); sin embargo, se han desarrollado otros accesos quirúrgicos, como la miniesternotomía media (mínima invasión) y el reemplazo vía transcatéter (TAVI).  Objetivo: Describir la experiencia de un centro cardiovascular en el reemplazo de válvula aórtica por los diferentes accesos quirúrgicos entre 2018 y 2021.  Método: Se llevó a cabo un estudio descriptivo, de corte transversal, que incluyó un análisis descriptivo y bivariado respecto al acceso quirúrgico utilizado.  Resultados: La población estuvo conformada por 131 pacientes. Se registró valvulopatía aórtica de origen degenerativo en el 71.7% (n = 94), seguida de la origen congénito en el 28.2% (n = 37). Respecto al abordaje quirúrgico, fue abierto en el 64.9% (n = 85), mínimamente invasivo en el 24.4% (n = 32) y transcatéter en el 10.7% (n = 14). El análisis bivariado mostró que el abordaje mínimamente invasivo tenía mejores resultados.  Conclusiones: El acceso abierto es el más implementado; no obstante, el mínimamente invasivo se debe plantear como una opción que ofrece excelentes resultados y un costo económico similar, además de beneficios como la disminución del dolor posoperatorio y una cicatriz quirúrgica menor. Se prefiere implementar el acceso transcatéter en pacientes con alto riesgo quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Aortic valve replacement is currently one of the most common cardiac surgeries, traditionally performed through open-heart surgery (median sternotomy). However, alternative surgical approaches, such as minimally invasive surgery through a mini-median sternotomy and transcatheter aortic valve replacement (TAVI), have been developed.  Objective: To describe the experience of a cardiovascular center in Tolima regarding aortic valve replacement through different surgical approaches between 2018 and 2021.  Method: A descriptive, cross-sectional study was conducted. A descriptive and bivariate analysis was performed regarding the surgical approach used.  Results: The population consisted of 131 patients. Degenerative aortic valve disease was observed in 71.7% (n = 94) of cases, followed by congenital cases at 28.2% (n = 37). Regarding the surgical approach, 64.9% (n = 85) underwent open-heart surgery, followed by 24.4% (n = 32) through a minimally invasive approach, and in third place, 10.7% (n = 14) underwent transcatheter replacement. Bivariate analysis revealed that the minimally invasive approach showed better results.  Conclusions: The open surgical approach is the most commonly implemented; however, the minimally invasive approach should be considered as an option due to its excellent results and a similar economic cost. This approach offers benefits such as reduced postoperative pain and a smaller surgical scar. Transcatheter access is preferred for patients at high surgical risk.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Válvula aórtica]]></kwd>
<kwd lng="es"><![CDATA[Estenosis de la válvula aórtica]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia de la válvula aórtica]]></kwd>
<kwd lng="es"><![CDATA[Reemplazo de la válvula aórtica transcatéter]]></kwd>
<kwd lng="en"><![CDATA[Aortic valve]]></kwd>
<kwd lng="en"><![CDATA[Aortic valve stenosis]]></kwd>
<kwd lng="en"><![CDATA[Aortic valve insufficiency]]></kwd>
<kwd lng="en"><![CDATA[Transcatheter aortic valve replacement]]></kwd>
</kwd-group>
</article-meta>
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