RESUMO
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.
Assuntos
Anastomose Cirúrgica/efeitos adversos , Angioplastia Coronária com Balão , Angiografia Coronária , Trombose Coronária/diagnóstico , Diagnóstico Diferencial , Cardiopatias Congênitas/cirurgia , Humanos , Lactente , MasculinoRESUMO
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.
Assuntos
Adulto , Procedimentos Cirúrgicos Cardíacos , Cardiomiopatia Dilatada/fisiopatologia , Evolução Fatal , Transplante de Coração , Ventrículos do Coração/cirurgia , Humanos , Masculino , Função Ventricular EsquerdaRESUMO
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.