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San José, Costa R20ica || Friday  Edition, October 20, 2017 || Vol. 17, No. 207
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New therapy for patients with heart failure conditions

By the A.M. Costa Rica staff

Calderon Guardia Hospital has become the first in Central America and the Caribbean to implement low risk therapy for patients with heart failure where surgery is not an option due to its high risk.

According to Tatian Lemos, director of the medical center, the procedure called MitraChip, is one of the most innovative worldwide.

The first two patients underwent surgery in late September.

One was Gladys Montealegre, 52, who said that since the procedure, she could walk, breathe, sleep and lead a normal life

"I woke up from the surgery and it was as if I had never had breathing problems. Now I can walk, I can do things," she explained.

Eduardo Sáenz, part of the team during the surgery said this type of procedure does not replace surgery but is for patients at high risk. These people usually have symptoms such as difficulty walking and breathing.

Edgar Pérez is the other patient for whom the procedure was performed. He said that he has a better quality of life. "We won the lottery, thanks to the hands of the doctors and the care they had," he said.

The problem is called mitral regurgitation. This occurs when there is a problem with the mitral valve, which regulates blood flow from the heart. It causes an abnormal passage of blood to the lungs, which causes an increase in blood pressure and difficulty breathing.
Wikipedia photo     
Installing the new heart valve is a
minimally invasive

To be eligible for the surgery, the patient must have chronic mitral valve disease and have trouble breathing, then the Cardiopathy Commission at the hospital, can authorize the surgery.

The MitraChip is a chromium-cobalt chip that is implanted in the valve through catheters, a minimally invasive procedure.

Currently there is no waiting list for the procedure, as only a very select group of patients can opt for it.

Cambronero road is already open
MOPT photo                
The road is open in one direction and continues to be regulated by officials

By the A.M. Costa Rica staff

The authorities of the Transit Police will open a passing lane in the regulated sector of Cambronero.

According to the Ministerio de Obras Públicas y Transportes, arrangements have been made at the site, which will allow traffic for all types of vehicles, including freight.

Germán Valverde, minister of MOPT, explained that during the process, the axis of the road was changed to generate a stable passage away from the sinking area.

The work also contemplate channeling water so that greater instability problems are prevented.

Also, the MOPT performs geotechnical studies to define the type of definitive intervention that it will apply to replenish lost material in Cambronero as a result of Tropical Storm Nate.

Valverde explained that the equipment and personnel working on the alternate passage of Cambronero will now be moved towards San Ramon where other damages in the route will be addressed.

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The CAFTA Report
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