RESUMEN
The method of prediction the enability of closure atrial septal defect before operation or in pre-bypass period during the one and one-half ventricle repair of CHD with hypoplastic right ventricle was presented. The method is based on comparison of the initial blood flow on superior vena cava (SVC) and right-to-left shunt at atrial level. Defect can be closed if flow on SVC and shunt flow are approximately equal. According to prognosis in 16 of 37 patients defect was closed. After operation there were not signes congestive heart insufficiensy and cyanosis. This approach allowes to avoid reoperations at least in half of patients. If shunt flow exceeds flow on SVC, defect must be left open.
Asunto(s)
Cardiopatías Congénitas/cirugía , Defectos del Tabique Interatrial/cirugía , Ventrículos Cardíacos/anomalías , Hemodinámica/fisiología , Venas Cavas/fisiopatología , Velocidad del Flujo Sanguíneo/fisiología , Puente Cardíaco Derecho , Cardiopatías Congénitas/complicaciones , Cardiopatías Congénitas/diagnóstico , Cardiopatías Congénitas/fisiopatología , Defectos del Tabique Interatrial/complicaciones , Defectos del Tabique Interatrial/diagnóstico , Defectos del Tabique Interatrial/fisiopatología , Ventrículos Cardíacos/fisiopatología , Ventrículos Cardíacos/cirugía , Humanos , Lactante , Recién Nacido , Cuidados Preoperatorios , Pronóstico , Resultado del TratamientoRESUMEN
Three cases of pseudoaneurysm of subclavian artery in long-term follow-up after staged repair of tetralogy of Fallot are described. The angiographical study revealed that aneurysms were located in the systemic end area of previously ligated modified Blalock-Taussing shunt. Aneurysmectomy with resection of a shunt and segment of subclavian artery was performed. We believe division of a prosthetic shunt should be routinely performed during complete repair of tetralogy to prevent morbidity in the long-term follow-up period.
Asunto(s)
Aneurisma Falso/etiología , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Arteria Subclavia , Tetralogía de Fallot/cirugía , Adulto , Aneurisma Falso/cirugía , Resultado Fatal , Humanos , MasculinoRESUMEN
Experience of surgical treatment of 45 patients with corrected transposition of the main vessels (CTMV) is summarized. Indications and tactic of surgical intervention for CTMV with the pulmonary trunk (PT) stenosis using conduit as a parallel exit from venous ventricle are substantiated. Original construction of autopericardial conduit is adduced. Basing on analysis of results of surgical treatment an optimal type of conduit for treatment of CTMV with the PT stenosis is proposed.
Asunto(s)
Prótesis Vascular , Procedimientos Quirúrgicos Cardíacos/instrumentación , Transposición de los Grandes Vasos/cirugía , Estenosis Coronaria/complicaciones , Estenosis Coronaria/cirugía , Diseño de Equipo , Humanos , Estudios Retrospectivos , Transposición de los Grandes Vasos/complicacionesRESUMEN
Complete cavapulmonary conjunction (CCPC) was done in 27 patients, in 3 of whom the tricuspid valve atresia and in 24--various forms of the heart only ventricle. In the early postoperative period 7 (25.9%) patients died. Application of the modified CCPC forming an unloading aperture in the intraatrial channel wall had promoted the surgical treatment results improvement.
Asunto(s)
Cardiopatías Congénitas/cirugía , Arteria Pulmonar/cirugía , Venas Cavas/cirugía , Función Ventricular , Anastomosis Quirúrgica , Niño , Preescolar , Humanos , Complicaciones Posoperatorias , Estudios RetrospectivosRESUMEN
Results are analysed of examination of 146 patients with different anatomical variants of single ventricle of the heart. 52 cases (35.6%) demonstrated biflow left ventricle, 49 (33.6%) biflow right ventricle, and 45 (30.8%) had indeterminate type single ventricle of the heart. Three main patterns of clinical course were identified: pattern I (presenting with inadequate pulmonary bloodflow) occurred in 49.3% of cases. Pattern II (with excessive pulmonary bloodflow) was recorded in 29.5% of cases. Pattern III (with balanced blood flow in both greater and lesser circulation) was identified in 21.2% of patients. 117 patients had their single ventricle of the heart associated with other congenital heart diseases. Secondary cardiomyopathy due to chronic volume overload of the ventricle was seen in 15 patients.
Asunto(s)
Cardiopatías Congénitas/patología , Adolescente , Adulto , Procedimientos Quirúrgicos Cardíacos , Niño , Preescolar , Contraindicaciones , Cardiopatías Congénitas/clasificación , Cardiopatías Congénitas/cirugía , Ventrículos Cardíacos/anomalías , Ventrículos Cardíacos/patología , Ventrículos Cardíacos/cirugía , Humanos , Lactante , Recién NacidoRESUMEN
Two-directional cava-pulmonary anastomosis was done in 35 patients with a inborn heart failure, ageing from 10 months to 11 years. In 29 patients the significant improvement of their state was noted. The level of arterial blood saturation with an oxygen have rised up to (90.1 +/- 2)% at average. Of 7 patients with the syndrome of right ventriculus hypoplasia one have died, of 27 patients with the single venticular heart-3.