ABSTRACT
Fifty four operations of one and a half ventricular correction were made for the treatment of congenital heart failure (CHF) in 1999-2006. Age of the patients varied from 1 yr 3 mo to 29 yr. Indications to the use of this method are discussed along with analysis of its role in the surgical treatment of CHF. Two-directional cavopulmonal anastomosis in certain complex forms of CHF reduced volume load on the right ventricle and thereby promoted success of its radical correction. One and a half ventricular correction involved the hypoplastic and functionally compromised right ventricle and pulmonary circulation and therefore created more favourable conditions for circulation.
Subject(s)
Heart Defects, Congenital/surgery , Heart Ventricles/abnormalities , Heart Ventricles/surgery , Adolescent , Adult , Child , Child, Preschool , Ebstein Anomaly/surgery , Echocardiography , Heart Defects, Congenital/diagnostic imaging , Humans , Infant , Pulmonary Circulation , Treatment OutcomeABSTRACT
The study was designed to analyse the frequency and structure of complications after Fontan operation depending on the form of congenital heart failure (CHF), method of surgery, patients' clinical and hemodynamic characteristics in the preoperative period. Results of surgical and endovascular treatment of different complications and strategies of conservative therapy are discussed. The most common complications of Fontan surgery were circulatory failure, disturbances of heart rhythm, and protein-losing enteropathy. In the majority of patients, they developed in the first 2-3 years after surgery.
Subject(s)
Fontan Procedure , Postoperative Complications , Adolescent , Adult , Age Factors , Arrhythmias, Cardiac/etiology , Child , Child, Preschool , Female , Follow-Up Studies , Fontan Procedure/adverse effects , Humans , Male , Protein-Losing Enteropathies/etiology , Sex Factors , Time FactorsABSTRACT
An examination of 54 patients with congenital heart disease has established an increased production of immunoglobulins, M class in particular, enhanced formation of circulating immune complexes, insufficient phagocytic activity of neutrophils, decreased content of T-lymphocytes. Patients with bacterial endocarditis were found to have more pronounced changes in immune reactivity. Reliable differences were found when comparing indices of nitroblue tetrazolium test in patients with an infectious process and without it.
