Assuntos
Humanos , Masculino , Feminino , Transposição dos Grandes Vasos/diagnóstico por imagem , Período Pós-Operatório , Transposição dos Grandes Vasos/cirurgia , Imageamento por Ressonância Magnética , Cateterismo , Ecocardiografia , Cintilografia , Tomografia Computadorizada por Raios X , Função Ventricular , Transposição das Grandes Artérias , Angiografia por Tomografia Computadorizada , Comunicação Interventricular/classificaçãoRESUMO
To study the morphological classification of VSD and its effects on weight, height and occipitofrontal circumference of children below five years. A control study of fifty patients with isolated Ventricular septal defect [VSD] from Babylon maternity and children teaching hospital [outpatient and inpatient], was done in regard to morphological classification of VSD and its effect on growth parameters, for the period from January to July, 2008. Another 50 healthy children of the same ages attending primary health center were chosen as a control group. The patients were ranging between 1 day to 5 years; most of them [60%] were below 1 year of age with male to female ratio of 1.6:1. About [76%] were presented in the first 6 months of life. The most common type of VSD was perimembranous type [72%], about half [52%] of VSD was small size. Weight and occipitofrontal circumference [OFC] were sensitive parameters for studying the effect of VSD on growth and it was greatly affected by the size of VSD with no significant effect of the gender on growth of the patients with VSD. Weight and OFC were affected significantly by the presence of VSD, with no effect for gender. Growth is affected by moderate and large sized VSD, so it should be managed early and carefully
Assuntos
Humanos , Masculino , Feminino , Comunicação Interventricular/classificação , Pré-Escolar , Peso Corporal , Estatura , Desenvolvimento Infantil , Crescimento , Estudos de Casos e ControlesRESUMO
Se informan los resultados de la intervencion quirurgica tardia en doce casos de ruptura postinfarto del septum interventricular. En promedio los pacientes fueron intervenidos despues de doce dias de producida la ruptura. Se presentaron dos muertes: una debida a sindrome de bajo gasto cardiaco y otra secundaria un accidente cerebrovascular ppostoperatorio. El manejo inicial se practico con inotropicos, vasodilatadores, diureticos y balon de contrapulsacion intraaortico. E lprocedimiento quirurgico incluyo parche con suturas reforzadas de teflon,aneurismectomia e injertos aortocoronarios cuando fueron necesarios. Se discute la fisiopatologia de la entidad y los resultados obtenidos con intervencion temprana y tardia.