RESUMEN
The experience of the peritoneal dialysis (PD) successful application in 16 children of an early age was summarized. In all the patients the terminal state with an acute cardiac and renal insufficiency was noted after cardiosurgical operation conduction using artificial blood circulation. The improvement of hemodynamical indices, renal and pulmonary function as well, were promoted by an early application of PD.
Asunto(s)
Procedimientos Quirúrgicos Cardíacos/métodos , Cardiopatías Congénitas/cirugía , Diálisis Peritoneal/métodos , Preescolar , Cardiopatías Congénitas/mortalidad , Humanos , Lactante , Recién Nacido , Insuficiencia Renal/cirugía , Tasa de SupervivenciaRESUMEN
Opinion varies among surgeons regarding the preferable method of surgical correction in patients with transposition of the great vessels (TGV) presenting with abnormal origins of the coronary artery (CA) and inadequacies in the diameters of the great vessels. In the work presented, the experience is analyzed gained with the performing of TGV radical correction operations of the arterial switch type in patients presenting with anomalous CA origins and abnormalities in diameters of the great vessels (n = 5). The submitted option permits simplifying CA transfer avoiding the coronary blood flow-related fatal intraoperative complications. Our modification of creation of a "new" aorta combined with particular features of implantation of the coronary arteries enabled us to secure good results in the presence of malformed, TGV, anatomy, which fact allowed the arterial switch operations to be extended to a greater number of cases in disadvantageous anatomical variants of TGV.
Asunto(s)
Aorta/cirugía , Vasos Coronarios/trasplante , Transposición de los Grandes Vasos/cirugía , Procedimientos Quirúrgicos Cardiovasculares/métodos , Circulación Extracorporea , Paro Cardíaco Inducido , Humanos , Lactante , Recién Nacido , Complicaciones Posoperatorias/epidemiologíaRESUMEN
The article presents the first experience gained with the use of the Lecompt operation in eleven patients presenting with transposition of the great vessels, ventricular septal defects, and pulmonary artery stenosis. The above procedure had been performed during the period 1995-1998, with the short-term and remote results having been analyzed. A detailed description is given of the surgical technique. The Lecompt procedure was found to be superior to the Rastelli operation.
Asunto(s)
Transposición de los Grandes Vasos/cirugía , Procedimientos Quirúrgicos Cardíacos/métodos , Niño , Preescolar , Defectos del Tabique Interventricular/cirugía , Humanos , LactanteRESUMEN
During the 1991-1998 yrs period there were operated on 20 patients with coarctation of aorta (CoA), aged up to 1 year old, in whom the ejaculatory fraction (EF) of left ventriculus (LI) was not exceeding 40%. All the patients were admitted to the hospital in the severe state of health, the end-diastolic (EDI) and the end-systolic (ESI) index constituting accordingly (144.2 +/- 47.2) and (84.2 +/- 34.7) ml/m2, EF LV--(34.2 +/- 4.7)%. After the operation one patient have died, the mortality was 5%. In three to eight days after the operation EDV have lowered by 15% on average, EF LV--have enhanced by 20%. In the majority of children in the late follow-up period EDI and ESI have lowered significantly, approximating the normal level, EF LV have normalized. The significant lowering of the LV function and the extremely severe state of the patient with CoA are not contraindications to the surgical intervention performance, vice versa, to such the patients the intensive therapy and the urgent operation conduction are indicated. The CoA demolition not only saves the child's life but fully normalizes the LV function in majority of the patients.