RESUMEN
Postoperative purulent mediastinitis was observed by the authors in 43 out of 1110 patients. Specific features of the clinical picture and course of this complication are described. The "closed" method of treatment was used in 20 patients. Five of them died from intoxication and arrosive bleeding. The "open" method of treatment of mediastinitis was used in 23 patients with no lethal outcomes.
Asunto(s)
Cardiopatías Congénitas/cirugía , Mediastinitis/patología , Mediastinitis/terapia , Procedimientos Quirúrgicos Torácicos/métodos , Adolescente , Humanos , Complicaciones Posoperatorias , Procedimientos Quirúrgicos Torácicos/efectos adversosRESUMEN
The results of radical correction of interatrial septum defects and heart diseases associated with it were analyzed after treatment of 502 patients at the age from 5 to 48 years. In most cases (58.4%) the patients were adults. The isolated defect of the interatrial septum was diagnosed in 377 patients. Correction of the defect was performed in 82 patients (16.3%) under mild hypothermia and 420 patients (83.6%) were operated upon under conditions of artificial circulation. General lethality was 7.7%.
Asunto(s)
Cardiopatías Congénitas/cirugía , Defectos del Tabique Interatrial/cirugía , Enfermedades de las Válvulas Cardíacas/cirugía , Adolescente , Adulto , Niño , Preescolar , Circulación Extracorporea , Femenino , Cardiopatías Congénitas/complicaciones , Defectos del Tabique Interatrial/complicaciones , Enfermedades de las Válvulas Cardíacas/complicaciones , Humanos , Hipertermia Inducida , Masculino , Persona de Mediana Edad , Arteria Pulmonar/anomalías , Válvula Pulmonar/cirugía , Venas Pulmonares/anomalías , Trilogía de Fallot/complicaciones , Trilogía de Fallot/cirugíaRESUMEN
The authors share their experiences with surgical treatment of 42 patients with different anatomical variants of the partial anomalous drainage of the pulmonary veins. Specific features of the surgical strategy are described depending on the level of confluence of the pulmonary veins, especially if the mouths of the abnormally falling pulmonary veins and the interatrial septum defect are far from each other. Good immediate and nearest results were obtained.