Correção intracardíaca da tetralogia de Fallot no primeiro ano de vida: resultados a curto e médio prazos

Neto, Fernando Ribeiro de Moraes; Santos, Cleusa Cavalcanti Lapa; Moraes, Carlos R.

doi:10.1590/s0102-76382008000200011

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…According to a cohort study by Moraes Neto et al [ 27 ] , the need for enlargement of the outflow tract may compromise the late postoperative period, and the placement of a transannular patch is a significant risk factor in children with body surface area < 0.48m². Based on the evaluation criteria of perioperative complications in that review, the necessity of enlargement of the outflow tract is a factor to be considered when determining the best age for surgery [ 28 ] .…”

Section: Discussionmentioning

confidence: 99%

When is the Best Time for Corrective Surgery in Patients with Tetralogy of Fallot between 0 and 12 Months of Age?

Martins¹,

Doles²,

Bravo-Valenzuela³

et al. 2018

Braz J Cardiovasc Surg

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ObjectiveTo identify the best time for corrective surgery of tetralogy of Fallot (TF) in children aged 0-12 months and to report the most frequent complications during the first 3 years postoperatively.MethodsSystematic review of studies published between 2000 and 2017 on corrective surgery for TF. Articles were selected through search of electronic databases (PubMed, SciELO, Scopus, Lilacs, Google Scholar, and Cochrane). Length of stay in intensive care unit, duration of mechanical ventilation, and peri/postoperative complications were analyzed for data discussion and research interpretation.ConclusionDefinitive corrective surgery is the best alternative, and the earlier it is performed, the lower the occurrence of harmful effects and the greater the chances of cardiorespiratory recovery. This systematic review suggests that the best time to perform definitive corrective surgery for TF in the first year of life is during 3-6 months of age in children with no or mild symptoms. Children with severe symptoms should undergo surgery immediately.

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Section: Discussionmentioning

confidence: 99%

When is the Best Time for Corrective Surgery in Patients with Tetralogy of Fallot between 0 and 12 Months of Age?

Martins¹,

Doles²,

Bravo-Valenzuela³

et al. 2018

Braz J Cardiovasc Surg

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“…A number of evidences demonstrated that early TOF correction reduces the side effects on vital organs, including the heart itself which can suffer from hypoxemia, and enhances survival and physiological result [ 13 – 15 ]. Generally, the rate of morbidity and mortality after operation has been considered to be reduced by increasing the size of patient [ 10 , 13 ], however, TOF correction in the first year of life can support medical benefits, economic and psycho-social advantages [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Investigation of associated factors with post-operative outcomes in patients undergoing Tetralogy of Fallot correction

2018

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BackgroundTetralogy of Fallot (TOF) is one of the congenital cardiac abnormality which occurs during embryonic time. Although surgical correction, especially early operation, is the best way to treat patients, still contributing factors in morbidity and mortality is controversial. The objective of this study is to investigate potential factors which might be correlated with post-operative outcomes of TOF.MethodsIn this retrospective study, 349 monitored patients with TOF correction were selected. Median of age was 4 (0.66–8) year, 58% of patients were male and 42% were female. Time of inotropic drug, extubation time, and ICU stay were considered as post-operative outcomes which extension of each of them increased the risk of death.ResultsVentricular septal defect enlargement was associated with longer extubation time and ICU stay. Higher ratio of pre-operative haematocrit was correlated with mortality (0.047).ConclusionsResults of this study demonstrated that haematocrit ratio before operation should be considered as a predictive factor, and patients with higher ratio of haematocrit require more care after operation. VSD enlargement is associated with longer extubation time and ICU stay.

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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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Correção intracardíaca da tetralogia de Fallot no primeiro ano de vida: resultados a curto e médio prazos

Abstract: Rev Bras Cir Cardiovasc 2008; 23(2): 216-223

Cited by 4 publications

References 35 publications

When is the Best Time for Corrective Surgery in Patients with Tetralogy of Fallot between 0 and 12 Months of Age?

When is the Best Time for Corrective Surgery in Patients with Tetralogy of Fallot between 0 and 12 Months of Age?

Investigation of associated factors with post-operative outcomes in patients undergoing Tetralogy of Fallot correction

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

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