Pediatric Cardiac Interventions

Hijazi, Ziyad M.; Awad, Sawsan

doi:10.1016/j.jcin.2008.07.007

Cited by 42 publications

(25 citation statements)

References 93 publications

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“…2 Coarctation is more common in male than female. 2,8 Our study also showed male preponderance. The management of patient presenting with neonatal coarctation is revolutionized by invention of prostaglandin E and its use to restore the patency of the ductus.…”

supporting

confidence: 73%

Transcatheter Therapy for Coarctation of Aorta: Analysis of 150 Cases

Begum

2017

Cardiovasc. j.

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Background: This study was conducted to analyze the outcome of transcatheter intervention of Coarctation of aorta carried out on 150 patients.Methods: This was a retrospective study, conducted in Pediatric Cardiology Unit, Combined Military Hospital Dhaka and Lab Aid Cardiac hospital from January 2007 to December 2015. Data were collected by chart review.Results: Age of the patient varies from 7 days to 28 years. Sixty six (44%) patients were female and rest were male. Native coarctation was 138 (92%) and post surgical re-coarctation was 12 (8%). Neonatal critical Coarctation was 60 (40%). Thirty six (24%) cases were detected when they were investigated for hypertension. Abdominal coarctation was found in 18 cases (12%). Multiple coarctation was found in 9 (6%) cases. Six cases (4%) had balloon angioplasty twice and 12(8%) cases had stenting after recoarctation as they had body weight above 15 kg. Aneurysm and aortic dissection was observed in one (0.66%) case. Thrombophlebitis observed in 3(2%) cases and temporary pulse loss in 9 (6%) cases. No mortality was noticed.Conclusion: Balloon angioplasty for coarctation of aorta and stenting in suitable cases is a safe and effective measure to treat coarctation of aorta.Cardiovasc. j. 2017; 10(1): 56-62

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supporting

confidence: 73%

Transcatheter Therapy for Coarctation of Aorta: Analysis of 150 Cases

Begum

2017

Cardiovasc. j.

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“…One example is a possible evolution of pulmonary hypertension, resulting from the adaptation of pulmonary flow postoperatively, a situation that restricts sudden maneuvers of physiotherapy [4,8,16,[19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…In such cases, attention should be paid to patient positioning, which must be at least 45 degrees of elevation, and avoid an increase in pulmonary vascular resistance with maintenance of PEEP (positive end expiratory pressure) low (up to 5 cmH20) [ 4,8,16,[19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

Silva¹,

Feuser²,

Silva³

et al. 2011

Rev Bras Cir Cardiovasc

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This study aims to gather and present scientific evidence on the role of a physiotherapist in the pre, peri and postoperative of pediatric cardiac surgery. This professional is able to prevent, minimize or reverse possible respiratory dysfunction and motor sequelae resulting from these interventions. Studies discuss the involvement of respiratory system, specifically the clearance of bronchial secretions and ventilatory adequacy, as a result of surgical procedure. Scientific evidences suggest the effectiveness of physiotherapy in reducing indices of: pneumonia, atelectasis, hospitalization, sequelae deleterious, and length of bed restriction, beyond clinical improvement. These data confirm positive contribution of physiotherapeutic intervention in these surgeries.Descriptors: Physical Therapy Modalities. Cardiac Surgical Procedures. Heart Defects, Congenital. ResumoO objetivo deste estudo é reunir e apresentar evidências científicas sobre a atuação do fisioterapeuta nos períodos pré, peri e pós-operatório da cirurgia cardíaca pediátrica. Esse profissional está habilitado a prevenir, minimizar e reverter possíveis disfunções respiratórias e sequelas motoras decorrentes dessas intervenções. Estudos discutem o comprometimento do sistema respiratório, especificamente do clearance de secreção brônquica e da adequação ventilatória, resultantes do procedimento cirúrgico, havendo evidências científicas quanto à eficácia da fisioterapia na redução: dos índices de pneumonias, atelectasias, período de internação, sequelas deletérias, tempo de restrição ao leito, além da melhora clínica. Esses dados atestam a contribuição positiva da intervenção fisioterapêutica nessas cirurgias. Rev Bras Cir Cardiovasc 2011;26(2):264-72 Descritores

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“…Introduction of interventional catheterization opened new venues in the treatment of patients with congenital heart disease [1]. Before this era, very sick or neglected patients were either denied surgery or underwent high risk procedures.…”

Section: Introductionmentioning

confidence: 99%