Morbilidad posquirúrgica en pacientes pediátricos operados por cardiopatías congénitas en la UMAE de Yucatán

Abstract

The number of surgical patients is lower compared to reference centres for cardiovascular surgery. There is a marked tendency to perform corrective and palliative surgeries in specific disease in patients with added risk or 'bad' cardiac anatomy that prevent full correction at the first attempt. Prospective epidemiological and clinical studies should be conducted to understand the behaviour of congenital heart diseases treated in the region.

Impacto de los valores de bióxido de carbono post-pinzamiento aórtico sobre la morbimortalidad postoperatoria en pacientes pediátricos sometidos a cirugía cardíaca

“…Infections and acute renal dysfunction were the most common problems. The overall percentage of infections reported in the literature varies between 6 and 50% (20,21) . In the present study, 57.77% of the total postoperative complications were of infectious type.…”

Genetic aspects in the medical approach of congenital heart defects

“…Mendieta-Alcántara et al 14 found that the most frequent CHD in two hospitals in Mexico's State in central Mexico was persistent conduct arteriosus (PCA), and in the specific group of pediatric patients born at term, the most frequent CHDs were interauricular and interventricular communication followed by PCA. Castillo-Espínola et al 2 analyzed the CHDs in Yucatan State in the Southwest of Mexico and reported that the most frequent alteration identified in that region was also PCA (37.6%), followed by TGA. In a study carried out in our institution during a 21-years period 15 , CHDs were identified in 125 autopsy procedures of pediatric patients; in 55% of the reports the CHDs corresponded to isolated defects, and 23% of them were part of a genetic syndrome, the rest was classified as idiopathic.…”

“…Every year an estimated of 20,000 children are born in our country with a CHD 2 , during 2001 they corresponded to the second-ranked among the death causes in the population under 5 years of age, the fifth place in the 5-9 years of age group, the sixth in the 10-14 years of age, and the 10 th cause of disease in the 15-19 years of age group 9 . In 2013, 24% of childhood mortality in Mexico was due to congenital diseases, with CHDs corresponding to 55% of death causes in children under one year of age 10 .…”

“…Congenital heart defects (CHDs) are anatomic abnormalities of the heart and great vessels that arise during prenatal development [1][2][3] . CHDs as a group corresponds to the most common congenital defect, they are a frequent cause of consultation and represent a public health issue [1][2][3][4] .…”

“…Congenital heart defects (CHDs) are anatomic abnormalities of the heart and great vessels that arise during prenatal development [1][2][3] . CHDs as a group corresponds to the most common congenital defect, they are a frequent cause of consultation and represent a public health issue [1][2][3][4] . The world incidence of CHDs varies from 6 to 11.1:1000 live newborns (LNB) 5 ; it has been considered that about 1% of LNB suffer from some form of CHD, and this percentage could reach 3% if minor heart anomalies such as bicuspid aortic valve are taken into consideration.…”