Modified hybrid procedure in hypoplastic left heart syndrome: initial experience of a center in northeastern Brazil
Rev. bras. cir. cardiovasc
;
32(3): 210-214, May-June 2017. tab, graf
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Cathétérisme cardiaque
/
Endoprothèses
/
Hypoplasie du coeur gauche
/
Procédures de Norwood
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
Limites du sujet:
Femelle
/
Humains
/
Mâle
/
Nouveau-né
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Anglais
Texte intégral:
Rev. bras. cir. cardiovasc
Thème du journal:
Cardiologie
/
Chirurgie générale
Année:
2017
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Hospital Wilson Rosado/BR
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