Caso 6/2005 - Cavopulmonar total extracardíaco com homoenxerto criopreservado

Abstract

RBCCV 44205-771 Cavopulmonar total extracardíaco com homoenxerto criopreservadoExtracardiac total cavopulmonary connection with cryopreserved homograft CLINICAL DATA We report on a 23-year-old male patient who had suffered from cyanosis since birth. In the first year of life he was submitted to a hemodynamics examination and complex heart disease was diagnosed which was clinically accompanied without the use of medications. The patient suffered no limitations in respect to routine physical activities and was in functional class I (NYHA). In the six months previous to arriving in our department, the patient evidenced sudden episodes of dizziness together with dyspnea. He was in a good general state, eupneic at rest but cyanotic 4+/6. The thorax was symmetrical the heart rhythm regular with a single second click, hyperphonic at a pulmonary focus (4+/6) and ejective at a high sternal border. The pulmonary auscultation was symmetrical without adventitious sounds. The abdomen presented with no changes. The pulses were palpable for the four limbs without pressure differences or presence of digital clubbing. ELECTROCARDIOGRAMAn electrocardiogram demonstrated sinus rhythm and a heartbeat of 72 bpm. The P wave axis was +90º, the QRS complex axis was also +90º, and the PR and QRS interval within normal limits.

Glenn bidirecional com cianose precoce por conexão veno-venosa pela veia hemiázigo

“…The Fontan or total cavopulmonary (with extracardiac tube) operation was performed as usually described by our team in previous articles [4,5,6]. There was no fenestration of the tube to the RA.…”