Insuficiencia mitral severa asintomática. A propósito de un caso

La insuficiencia mitral es una afeccion comun que incide generalmente en 2 porceinto de la poblacion, el prolapso valvular es el hallazgo mas frecuente por la elongacion o ruptura de las cuerdas tendinosas lo que ocasiona disimiles grados de regurgitacion durante la contraccion ventricular. A pesar de ello, la evaluacion clinica de los pacientes asintomaticos con insuficiencia mitral severa, permanece en controversia y es motivo de debate entre los principales expertos. Se presento un caso de insuficiencia mitral severa asintomatica por rotura de cuerda tendinosa, al cual se le realizo sustitucion valvular mitral debido al grado de deterioro del aparato valvular y sub-valvular, se logro buen resultado en el seguimiento(AU) Mitral failure is a common disease that generally affects 2 percent of the population. The valvular prolapse is the most frequent finding due to elongation or rupture of tendinous cords that brings about different levels of regurgitation during the ventricular contraction. Despite the above-mentioned, the clinical evaluation of asymptomatic severe mitral failure patients remains controversial and is very much debated among outstanding experts. A case of asymptomatic severe mitral failure caused by rupture of the tendinous cord was presented. The mitral valve was replaced because the valvular and subvalvular systems were much deteriorated. The follow-up of the patient showed good results(AU)