“…The presence of adverse nutritional conditions, hemodynamic alterations, invasive procedures, and inadequate primary defenses predisposes the child to the development of infections. Some forms of congenital heart disease cause severe hemodynamic alteration, and when this condition is diagnosed a chest infection or septicemia may already be present (Ebaid & Afiune, 1998). Moreover, the clinical evolution of the initial heart disease may lead to invasive procedures that increase the risk for infection (Guerriero et al., 2003).…”
“…The presence of adverse nutritional conditions, hemodynamic alterations, invasive procedures, and inadequate primary defenses predisposes the child to the development of infections. Some forms of congenital heart disease cause severe hemodynamic alteration, and when this condition is diagnosed a chest infection or septicemia may already be present (Ebaid & Afiune, 1998). Moreover, the clinical evolution of the initial heart disease may lead to invasive procedures that increase the risk for infection (Guerriero et al., 2003).…”
Objective: This study aims evaluate the treatment of congenital heart disease conducted from 2000 to 2009.Methods: The sample consisted of all patients undergoing surgical correction for congenital heart disease for ten years in Sergipe, Brazil. The patients were operated in three hospitals located in the city of Aracaju, capital of the state of Sergipe (Brazil). The study was divided into two periods defined by the start date of centralization of surgery. The variables collected were: age, sex, postoperative diagnosis, destination, type of surgery and hospital where the procedure was performed and the classification RACHS -1.Results: In the period I, the estimate deficit of surgery was 69% decrease occurring in the period II to 55.3%. The postoperative diagnosis was more frequent closure of the interventricular communication (20.5%), closure of patent ductus arteriosus (20.2%) and atrial septal defect (19%). There was a statistically significant correlation between the expected mortality RACHS-1 and observed in the sample. The evaluation of RACHS-1 as a predictor of hospital mortality by ROC curve showed area of 0.860 95% CI 0.818 to 0.902 with P <0.0001.
Conclusion:The results of this study indicate that the centralization and organization of existing resources are needed to improve the performance of surgical correction of congenital heart diseases.
Descriptors
225Leite DCF, et al. -Heart defects treatment in Sergipe: propose of resources' rationalization to improve careRev Bras Cir Cardiovasc 2012;27(2):224-30
“…The aortic coarctation present until adulthood is uncommon, being observed by Bouchart et al [9] annual average of 1.75 adult patients operated in 20 years, being more prevalent in males (2 to 3:1) [15]. Wong et al [6], between 1997 and 2000, underwent correction of nine cases of aortic coarctation using extracorporeal circulation, but only 3 patients were 18 years old or more.…”
Objective: To describe our experience with repair of coarctation of the aorta in adults using left heart bypass.Methods: From November 2007 to October 2009, eight adult patients with coarctation of the aorta underwent surgical repair under circulatory support using a left atrium to femoral artery bypass circuit, with graft interposition tube through left posterolateral thoracotomy. Five patients were female, with mean age of 31.5 ± 13.1 years. All patients had hypertension and others associated cardiovascular diseases.Results: There were no deaths or neurological complications. The mean surgical time was 308 minutes with mean left heart bypass and distal aortic clamping time of 73 and 65 minutes respectively. Postoperative bleeding was 696 ml in average. Six patients developed severe hypertension postoperatively requiring intravenous vasodilators. The mean length of stay was 9 days. A significant reduction of gradient blood pressure occurred. Rev Bras Cir Cardiovasc 2012;27(1):97-102
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