Operação de Glenn bidirecional no tratamento estagiado da síndrome de hipoplasia do coração esquerdo: resultados imediatos e tardios

Fonseca, Luciana da; Silva, José Pedro da; Franchi, Sônia Meiken; Castro, Rodrigo Moreira; Comparato, Daniel Orselli; Baumgratz, José Francisco

doi:10.1590/s0102-76382005000100005

Cited by 6 publications

(7 citation statements)

References 23 publications

(11 reference statements)

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“…Pulmonary perfusion is maintained by a tubular PTFE graft anastomosed in the right subclavian and right pulmonary arteries. 5 , 24 , 25 Interatrial septal defect may be widened in this procedure. In 2003, Sano et al 26 , 27 published modifications in the Norwood technique with outcome improvement.…”

Section: Discussionmentioning

confidence: 99%

“…The first stage, known as Norwood surgery, is undertaken after birth and consists of connecting the main pulmonary artery to the aortic arch, which was previously expanded, with a polytetrafluoroethylene (PTFE) graft, thus forming a new aorta. Pulmonary perfusion is maintained by a tubular PTFE graft anastomosed in the right subclavian and right pulmonary arteries 5 , 24 , 25. Interatrial septal defect may be widened in this procedure.…”

Section: Discussionmentioning

confidence: 99%

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Classic form of hypoplastic left heart syndrome diagnosed post-natally: an autopsy report

Ferreira¹,

Aiello²,

Melo³

et al. 2014

ACR

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Hypoplastic left heart syndrome (HLHS) is a congenital heart disease, which, despite the current improved knowledge about its management and surgical treatment, is still associated with high mortality, especially in the early neonatal period and before the second stage of reconstruction surgery. The low rate of prenatal diagnosis and delayed diagnostic suspicion results in unsuccessful therapeutic intervention, even though the real impact of early diagnosis and intervention on mortality and quality of life of patients is still uncertain. Fortunately, this syndrome of challenging treatment is not that frequent. It involves a spectrum of obstructions to the blood flow within the left heart and is characterized by an inappropriate size of the left ventricle associated with a wide variety of valvular dysfunctions. Treatment ranges from heart transplantation to palliative surgical procedures. The authors describe a case of a newborn with HLHS, whose diagnosis was made after birth because of early respiratory failure. Despite the use of prostaglandin the newborn died. An autopsy was performed and the anatomical findings were described.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Classic form of hypoplastic left heart syndrome diagnosed post-natally: an autopsy report

Ferreira¹,

Aiello²,

Melo³

et al. 2014

ACR

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“…This successful technique was adopted, rapidly, by Institutions with Pediatric Cardiovascular Surgery, all over the Country [10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

One and a half ventricular repair as an alternative for hypoplastic right ventricle

Maluf¹,

Carvalho²,

Carvalho³

2010

Rev Bras Cir Cardiovasc

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Operação de um ventrículo e meio como uma alternativa para o ventrículo direito hipoplásicoOne and a half ventricular repair as an alternative for hypoplastic right ventricle Endereço Conclusões: O tratamento cirúrgico de cardiopatias congênita, na presença de um ventrículo direito hipoplásico, por meio da operação de um ventrículo e meio, tem menor risco cirúrgico que a correção biventricular, mantendo o átrio direito com baixa pressão, fluxo sanguíneo pulmonar pulsátil e melhora da saturação sistêmica de oxigênio. Os resultados de curto e médio prazo são satisfatórios; porém será necessário um maior tempo de seguimento para provar a eficácia desta abordagem cirúrgica a longo prazo. Descritores 467MALUF, MA ET AL -Operação de um ventrículo e meio como uma alternativa para o ventrículo direito hipoplásico Bras Cir Cardiovasc 2010; 25(4): 466-473 Conclusions: Surgical treatment of congenital cardiac anomalies in the presence of a hypoplastic right ventricle by means of one and a half ventricle repair has the advantages of reducing the surgical risk of biventricular repair compared to the Fontan circulation; it maintains a low right atrium pressure, a pulsatile pulmonary blood flow and improves the systemic oxygen saturation with short and medium-term promising results. Longer follow-up is needed to prove the efficacy of such a repair in the long term. RevDescriptors: Heart defects, congenital/surgery. Heart valve prosthesis implantation, methods. Child. Pulmonary atresia. Ebstein anomaly.

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“…Em seguida, entre 2 e 10 meses de idade, é realizado o desvio da veia cava superior (VCS) para a artéria pulmonar, conhecido como a operação de Glenn bidirecional. Por fim, realiza-se a cirurgia de Hemi-Fontan, entre 18 e 24 meses, na qual ocorre o desvio do fluxo da veia cava inferior para o pulmão (FONSECA et. al., 2005).…”

Section: O Coração Com Shveunclassified

Prevalência De Quedas Em Idosos Institucionalizados

ARAÚJO¹,

LAGO²,

MESQUITA³

et al. 2020

Amplamente: Pesquisa Em Saúde

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a eliminação do tumor pode não ser completa, de modo que a neoplasia pode retornar e requisitar até uma intervenção aberta (CHEDID et al, 2017). CONCLUSÃOA embolização arterial quando bem indicada, tem grande probabilidade de êxito.Apesar do alto custo, necessidade de equipamento sofisticado e equipe especializada, compensa-se pela diminuição do tempo de internação e por ser um procedimento minimamente invasivo, sendo uma opção aconselhável para o paciente que se recusa a se submeter a procedimentos mais invasivos.

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Operação de Glenn bidirecional no tratamento estagiado da síndrome de hipoplasia do coração esquerdo: resultados imediatos e tardios

Cited by 6 publications

References 23 publications

Classic form of hypoplastic left heart syndrome diagnosed post-natally: an autopsy report

Classic form of hypoplastic left heart syndrome diagnosed post-natally: an autopsy report

One and a half ventricular repair as an alternative for hypoplastic right ventricle

Prevalência De Quedas Em Idosos Institucionalizados

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