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Modified hybrid procedure in hypoplastic left heart syndrome: initial experience of a center in northeastern Brazil
Faria, Renato Max; Pacheco, Juliana Torres; Oliveira, Itamar Ribeiro de; Vidal, José Madson; Rodrigues Junior, Anilton Bezerra; Costa, Ana Luiza Lafeta; Nina, Vinicius José da Silva; Cascudo, Marcelo Matos.
  • Faria, Renato Max; Hospital Wilson Rosado. Mossoró. BR
  • Pacheco, Juliana Torres; Hospital Wilson Rosado. Mossoró. BR
  • Oliveira, Itamar Ribeiro de; Hospital Wilson Rosado. Mossoró. BR
  • Vidal, José Madson; Hospital Wilson Rosado. Mossoró. BR
  • Rodrigues Junior, Anilton Bezerra; Hospital Wilson Rosado. Mossoró. BR
  • Costa, Ana Luiza Lafeta; Hospital Wilson Rosado. Mossoró. BR
  • Nina, Vinicius José da Silva; Hospital Wilson Rosado. Mossoró. BR
  • Cascudo, Marcelo Matos; Hospital Wilson Rosado. Mossoró. BR
Rev. bras. cir. cardiovasc ; 32(3): 210-214, May-June 2017. tab, graf
Article in English | LILACS | ID: biblio-897913
ABSTRACT
Abstract

Introduction:

Although it only corresponds to 2.5% of congenital heart defects, hypoplastic left heart syndrome (HLHS) is responsible for more than 25% of cardiac deaths in the first week of life. Palliative surgery performed after the second week of life is considered an important risk factor in the treatment of HLHS.

Objective:

The aim of this study is to describe the initial experience of a medical center in Northeastern Brazil with a modified off-pump hybrid approach for palliation of HLHS.

Methods:

From November 2012 through November 2015, the medical records of 8 patients with HLHS undergoing hybrid procedure were retrospectively evaluated in a tertiary private hospital in Northeastern Brazil. The modified off-pump hybrid palliation consisted of stenting of the ductus arteriosus guided by fluoroscopy without contrast and banding of the main pulmonary artery branches. Demographic and clinical variables were recorded for descriptive analysis.

Results:

Eight patients were included in this study, of whom 37.5% were female. The median age and weight at the time of the procedure was 2 days (p25% and p75% = 2 and 4.5 days, respectively) and 3150 g (p25% and p75% = 3077.5 g and 3400 g, respectively), respectively. The median length in intensive care unit stay was 6 days (p25% and p75% = 3.5% and 8 days, respectively). There were no in-hospital deaths. Four patients have undergone to the second stage of the surgical treatment of HLHS.

Conclusion:

In this series, the initial experience with the modified off-pump hybrid procedure showed to be safe, allowing a low early mortality rate among children presenting HLHS.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Cardiac Catheterization / Stents / Hypoplastic Left Heart Syndrome / Norwood Procedures Type of study: Etiology study / Observational study Limits: Female / Humans / Male / Infant, Newborn Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Wilson Rosado/BR

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Full text: Available Index: LILACS (Americas) Main subject: Cardiac Catheterization / Stents / Hypoplastic Left Heart Syndrome / Norwood Procedures Type of study: Etiology study / Observational study Limits: Female / Humans / Male / Infant, Newborn Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Wilson Rosado/BR