RESUMO
The basic principles of diagnosis and management of pulmonary atresia with ventricular septal defect and major aorto-pulmonary collateral arteries are systematizes in this paper. The personal experience of surgical treatment of consecutive 66 patients with this disease is analyzed, including one-stage and multistage approaches.
Assuntos
Aorta/cirurgia , Defeitos dos Septos Cardíacos/cirurgia , Septos Cardíacos/cirurgia , Artéria Pulmonar/cirurgia , Atresia Pulmonar/cirurgia , Adolescente , Adulto , Aorta/anormalidades , Criança , Pré-Escolar , Feminino , Defeitos dos Septos Cardíacos/diagnóstico , Defeitos dos Septos Cardíacos/mortalidade , Defeitos dos Septos Cardíacos/patologia , Septos Cardíacos/patologia , Humanos , Lactente , Masculino , Artéria Pulmonar/anormalidades , Atresia Pulmonar/diagnóstico , Atresia Pulmonar/mortalidade , Atresia Pulmonar/patologia , Análise de Sobrevida , Resultado do TratamentoRESUMO
The upper septal access to left atrioventricular valve (LAVV) was applied while the operation conduction, using the heart-lung apparatus, in 7 patients. Excellent exposition of all the parts of the LAVV ring and of subvalvular apparatus was achieved in all observations. There were no observed significant rhythm disorders and other complications due to the access chosen.
Assuntos
Procedimentos Cirúrgicos Cardíacos/métodos , Septos Cardíacos/cirurgia , Valva Mitral/cirurgia , Adulto , Feminino , Frequência Cardíaca , Implante de Prótese de Valva Cardíaca/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Cardiopatia Reumática/fisiopatologia , Cardiopatia Reumática/cirurgiaRESUMO
Surgical treatment was conducted in 113 patients with the mitral valve failure, complicated by significant enlargement of the left auricle (LA). The simultant operation had included the mitral valve prosthesis and the LA reducing plasty according to the original method. The additional surgical correction of other valves affection was conducted in 44 patients. The hospital lethality have constituted 6.2%.