Avaliação inicial de homoenxertos em posição pulmonar em crianças e adolescentes

Giffhorn, Hélcio; Ferreira, Wanderley Saviolo; Costa, Francisco Assis Lima; Sallum, Fábio; Costa, Iseu Affonso da

doi:10.1590/s0102-76381999000200009

Cited by 2 publications

(4 citation statements)

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“…Late death and dysfunction of the pulmonary homograft were assessed with more emphasis [2,3,[5][6][7][10][11][12]. In our study, hospital mortality was 18%, in accordance with the literature, on which mortality ranges from 6% to 27% [2.5-10].…”

Section: Discussionsupporting

confidence: 82%

“…In a previous study of this service with pulmonary homograft, the mean time of CPB was 120 ± 29 minutes, with a mortality of 12% [5].…”

Section: Discussionmentioning

confidence: 87%

“…Few studies have focused on hospital mortality for surgical repair of the obstructive diseases of the right heart, citing only its rate, but rather than assessing the risk factors [5][6][7][8][9][10]. Late death and dysfunction of the pulmonary homograft were assessed with more emphasis [2,3,[5][6][7][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

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Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homeonxerto pulmonar

Lenzi

Miyague²,

Ferreira

et al. 2010

Rev Bras Cir Cardiovasc

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Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homeonxerto pulmonarHospital mortality in surgery for right ventricular outflow tract reconstruction using pulmonary homograft Abstract Background: Hospital mortality in surgical reconstruction of the right ventricular outflow tract using pulmonary homograft is variable.Objectives: To identify risk factors associated with hospital mortality and patients' clinical profile.Methods: Study on children who had undergone reconstruction of the right ventricular outflow tract using pulmonary homograft. We analyzed as risk factors the clinical and surgical variables and prosthesis's morphological aspects.Results: Ninety-two patients underwent surgery between 1998 and 2005, presenting mainly pulmonary atresia with ventricular septal defect and tetralogy of Fallot. Forty patients were treated in the first month of life. 38 patients needed Blalock Taussig surgeries due to clinical severity. The median age at surgery for total correction was 22 months, ranging from 1 to 157 months. Pulmonary homograft size ranged from 12 to 26 mm and length of cardiopulmonary bypass was 132 ± 37 minutes. Postoperatively, there were seventeen deaths (18% cases), on average 10.5 ± 7.5 days after surgery. The predominant cause was multiple organ failure. In the univariate analysis between the types of heart disease, they related to age, time of surgery, size of homograft, pulmonary valve Z value, CPB time, maintenance of the integrity of the homograft and pulmonary tree change. There was no statistical difference in hospital mortality between the variables and the type of heart disease.Conclusion: The right-sided obstructive heart diseases require surgical care in the first days of life. The total correction surgery has a mortality risk rate of 18% but there was no association with any variable studied.Descriptors: Heart defects, congenital. Cardiovascular surgical procedures. Transplantation, homologous. Mortality. Resumo

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Section: Discussionsupporting

confidence: 82%

“…In a previous study of this service with pulmonary homograft, the mean time of CPB was 120 ± 29 minutes, with a mortality of 12% [5].…”

Section: Discussionmentioning

confidence: 87%

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Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homeonxerto pulmonar

Lenzi

Miyague²,

Ferreira

et al. 2010

Rev Bras Cir Cardiovasc

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“…In the last years, the cardiac surgery service of Santa Casa de Curitiba chose to use the pulmonary homograft for reconstructing the right ventricle exit tract due to its technical advantages and the good clinical and surgical results of the already operated patients 2,3 . The option of this service for the use of the pulmonary homograft, in such position, is based on studies that show that the aortic homograft in pulmonary position presents higher index of calcification due to its composition rich in elastin [4][5][6][7][8][9][10][11][12][13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

Disfunção do homoenxerto pulmonar utilizado na reconstrução do trato de saída do ventrículo direito

Lenzi¹,

Olandoski²,

Ferreira³

et al. 2011

Arq. Bras. Cardiol.

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Avaliação inicial de homoenxertos em posição pulmonar em crianças e adolescentes

Cited by 2 publications

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Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homeonxerto pulmonar

Mortalidade hospitalar na cirurgia de reconstrução da via de saída do ventrículo direito com homeonxerto pulmonar

Disfunção do homoenxerto pulmonar utilizado na reconstrução do trato de saída do ventrículo direito

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