ABSTRACT
On September 4th, 2017 it will be 60 years since Dr. Helmut Jeager performed the first successful open-heart surgery in Chile and South America on a patient with a congenital heart defect. He performed the closure of an ostium secundum type inter atrial septal defect, using The Wall - Lillehei extracor-poreal circuit. Although in most cases this type of surgery has been replaced by closure through inter-ventional catheterism, at that time the operation had big medical and news media impact. For children born with a congenital heart defect, cardiac surgery meant a before and after. Before, children less than one-year old had a limited survival rate, about 30% at one year. Now, thanks to cardiac surgery the survival is close to 95% and in most cases life expectancy is normal or with only few limitations.
Subject(s)
Humans , Child , History, 20th Century , Cardiology/history , Cardiopulmonary Bypass/history , South America , Chile , Heart Defects, Congenital/historySubject(s)
Humans , Adult , Heart Defects, Congenital/history , Tetralogy of Fallot/classification , Tetralogy of Fallot/diagnosis , Tetralogy of Fallot/therapy , Tetralogy of Fallot , Heart Failure/complications , Heart Failure/rehabilitation , Radiography, Thoracic , Echocardiography , HemodynamicsABSTRACT
Se estudiaron en 20 pacientes pediátricos con anomalías tronco-conales cardiovasculares las subpoblaciones de linfocitos T mediante el método de la fosfatasa alcalina antifosfatasa alcalina con los anticuerpos monoclonales específicos anti-CD3, anti-CD4 y anti-CD8. Se tomó como grupo control a 25 individuos supuestamente sanos. Se obtuvieron diferencias significativas para las subpoblaciones T CD3 y CD4 positivas (p < 0,05). El déficit inmunológico celular encontrado en estos pacientes indica la necesidad de incluir en el tratamiento de los mismos a inmunomoduladores para prevenir las complicaciones sépticas
Subject(s)
Child , Humans , Heart Defects, Congenital/classification , Heart Defects, Congenital/history , Heart Defects, Congenital/pathology , T-Lymphocyte SubsetsABSTRACT
A intervenção da enfermagem no pré, trans e pós-operatório e a integração das equipes de cada setor através de um roteiro sistematizado de assistência de enfermagem constitui o enfoque desta revisão. As equipes devem ser orientadas em relação à prevenção e ao diagnóstico precoce das complicações para favorecer a recuperação precoce da criança
Subject(s)
Humans , Child , Heart Defects, Congenital/nursing , Heart Defects, Congenital/history , Postoperative Care/nursing , Preoperative Care/nursingABSTRACT
Os autores comentam o historico da cardiologia pediatrica, desde os seus primordios ate os dias atuais, citando os principais nomes e as principais conquistas neste campo. Tambem fazem, ao final, um apanhado das principais perspectivas futuras no campo do diagnostico e do tratamento das varias cardiopatias congenitas