ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Infant , Mitral Valve/surgery , Mitral Valve , Mitral Valve Insufficiency/epidemiology , Mitral Valve Insufficiency/prevention & control , Mitral Valve Insufficiency/surgery , Heparin/therapeutic use , Prostheses and Implants/standards , Prostheses and Implants/trends , Prostheses and Implants , Acenocoumarol , Anticoagulants/therapeutic useABSTRACT
La enfermedad cardíaca durante el embarazo se relaciona con el 15% de la mortalidad materna, y es la causa no obstétrica más habitual de muerte materna. Las complicaciones neonatales y cardiovasculares maternas son más frecuentes entre las gestantes cardiópatas, por lo que es importante conocer los factores de riesgo de la embarazada para que reciba un consejo preconcepcional y un seguimiento obstétrico adecuados. Presentamos un caso de embarazo y parto por cesárea en una gestante con cardiopatía congénita no cianótica tipo ventrículo único, con estenosis pulmonar grave y transposición de grandes vasos, tratada a los 4 años de edad mediante corrección quirúrgica con técnica de Fontan
Cardiac disease in pregnancy is the most common non-obstetric cause of maternal death, accounting for 15% of pregnancy-related maternal mortality. Pregnancy in women with heart disease is associated with significant cardiac and neonatal complications. Consequently, risk factors should be identified in pregnant women so that they receive appropriate preconceptional counseling and obstetric care. We report the case of a pregnant woman with a single ventricle, severe pulmonary stenosis and transposition of the great arteries treated surgically at the age of 4 years with Fontan operation. The route of delivery was a cesarean section
Subject(s)
Male , Female , Pregnancy , Infant, Newborn , Adult , Humans , Pregnancy Complications, Cardiovascular , Heart Ventricles/abnormalities , Heart Defects, Congenital , Pregnancy Outcome , Cesarean Section , Severity of Illness IndexSubject(s)
Cor Triatriatum/diagnostic imaging , Child, Preschool , Cor Triatriatum/surgery , Humans , Male , UltrasonographyABSTRACT
A hundred clinical records of children between the ages of 6 and 18 months were examined. These previously healthy children, were hospitalized after having their first febrile seizure. Lumbar puncture were performed on 42 of them, showing the existence of meningitis in 4 cases, 2 of which were bacterial meningitis. Previously, clinical criteria for meningitis diagnosis were: alteration of general condition, irritability, vomiting, bulging fontanelle and meningeal signs; in these 4 cases, the clinical criteria were noticed. In 17 puncture patients who did not fulfil clinical criteria, the cerebrospinal fluid was normal. The sensitivity and negative predictive value of these clinical criteria were 100% and their application in this series would have avoided the lumbar puncture in 40% of cases. The utility of peripheral white blood cell counts following TOOD's patterns for the bacterial meningitis diagnosis was low, with a sensibility of 50%. We conclude that the lumbar puncture in these children should not be performed as a routine measure.
