Résumé
Transcatheter balloon recanalization of occluded Blalock-Taussig shunts in the early post-operative period has been reported in the past but there are issues regarding the role of thrombolysis in this situation. We present our experience with such a procedure in an infant with blocked modified Blalock-Taussig shunt.
Sujets)
Anastomose chirurgicale/effets indésirables , Angioplastie coronaire par ballonnet , Coronarographie , Thrombose coronarienne/diagnostic , Diagnostic différentiel , Cardiopathies congénitales/chirurgie , Humains , Nourrisson , MâleRésumé
A 37-year-old male patient with dilated cardiomyopathy and end-stage heart failure underwent Batista procedure. After 6 months, he underwent orthotopic heart transplantation. Though he did not survive the procedure, we conclude that Batista procedure may serve as a cost-effective biological bridge to cardiac transplantation.
Sujets)
Adulte , Procédures de chirurgie cardiaque , Cardiomyopathie dilatée/physiopathologie , Issue fatale , Transplantation cardiaque , Ventricules cardiaques/chirurgie , Humains , Mâle , Fonction ventriculaire gaucheRésumé
The controversy surrounding the use of a colloid or a crystalloid prime in the cardiopulmonary circuit still continues and is a matter of conjecture and an unresolved issue. To evaluate the effect of 4% modified fluid gelatin on haemostasis by measurement of haemostatic variables after cardiopulmonary bypass surgery, we studied 40 patients. They were randomly assigned to 2 groups of ringer lactate and 4% modified fluid gelatin priming solution. The study conclusively proved that 4% modified fluid gelatin has no significant effect on haemostasis and could be recommended as a priming fluid in cardiopulmonary bypass circuit.