RESUMO
We present the fifth "Jatene Lecture on Surgical Innovation" on Innovation in Congenital Heart Surgery, given at the Eighth Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery and Eighth World Congress of Pediatric Cardiology and Cardiac Surgery in Washington DC in 2023. We highlight what surgical innovation is and how innovation was accomplished in cardiac surgery and particularly in congenital heart surgery. A brief history of the development of congenital heart surgery across the world is summarized and we finally illustrate the South American contributions to congenital heart surgery, acknowledging the great innovations of Adib Jatene and Guillermo Kreutzer to our field.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Cardiopatias Congênitas , Humanos , Cardiopatias Congênitas/cirurgia , Cardiopatias Congênitas/história , Procedimentos Cirúrgicos Cardíacos/história , América do Sul , História do Século XX , História do Século XXIRESUMO
On September 4th, 2017 it will be 60 years since Dr. Helmut Jeager performed the first successful open-heart surgery in Chile and South America on a patient with a congenital heart defect. He performed the closure of an ostium secundum type inter atrial septal defect, using The Wall - Lillehei extracor-poreal circuit. Although in most cases this type of surgery has been replaced by closure through inter-ventional catheterism, at that time the operation had big medical and news media impact. For children born with a congenital heart defect, cardiac surgery meant a before and after. Before, children less than one-year old had a limited survival rate, about 30% at one year. Now, thanks to cardiac surgery the survival is close to 95% and in most cases life expectancy is normal or with only few limitations.
Assuntos
Humanos , Criança , História do Século XX , Cardiologia/história , Ponte Cardiopulmonar/história , América do Sul , Chile , Cardiopatias Congênitas/históriaAssuntos
Humanos , Adulto , Cardiopatias Congênitas/história , Tetralogia de Fallot/classificação , Tetralogia de Fallot/diagnóstico , Tetralogia de Fallot/terapia , Tetralogia de Fallot , Insuficiência Cardíaca/complicações , Insuficiência Cardíaca/reabilitação , Radiografia Torácica , Ecocardiografia , HemodinâmicaRESUMO
To repair congenital heart defects by means of open heart surgery, the surgeon needs guidance about the location and distribution of the specialized conduction tissues, in order to avoid their direct damage and consequent conduction disturbances. This review addresses the historical steps of the morphological study of the conduction system in different types of heart defects, providing updated information about the subject.
Assuntos
Arritmias Cardíacas/patologia , Sistema de Condução Cardíaco/anormalidades , Sistema de Condução Cardíaco/patologia , Cardiopatias Congênitas/patologia , Arritmias Cardíacas/história , Arritmias Cardíacas/cirurgia , Síndrome de Brugada , Doença do Sistema de Condução Cardíaco , Procedimentos Cirúrgicos Cardíacos/história , Procedimentos Cirúrgicos Cardíacos/métodos , Sistema de Condução Cardíaco/cirurgia , Cardiopatias Congênitas/história , Cardiopatias Congênitas/cirurgia , Doenças das Valvas Cardíacas/história , Doenças das Valvas Cardíacas/patologia , Doenças das Valvas Cardíacas/cirurgia , História do Século XX , HumanosRESUMO
In the United Kingdom, during the mid-20th century, Paul Wood appears as the new leader of European cardiology. He introduced rigorous bed-side diagnostic methods and the confirmation of these clinical findings by cardiac catheterization, in an effort to demonstrate the pathophysiological causes of cardiac disease. In his search for the correct diagnosis, his comments, which could be caustic, both impressed and offended many. He had a strong commanding personality and was intensely honest in his appreciations. His showmanship and diagnostic ability became renown. In 1950, the publishing of the first edition of his textbook "Diseases of the Heart and Circulation" brought him worldwide recognition. In this book, Wood introduces his personal fresh style of narrative and his physiologic approach to cardiology. His intense professional activity, teaching, lecturing and preparing the third edition of his book, plus the fact that he was a heavy smoker, must have been the factors that lead to a myocardial infarction and death at the early age of 54. As Paul Dudley White and Ignacio Chávez in America, Paul Wood in Europe will be remembered as the emblematic figure leading the transition of cardiology into the modern era.
Assuntos
Cardiologia/história , Cardiopatias Congênitas/história , História do Século XX , Cardiopatia Reumática/história , Reino UnidoRESUMO
Se estudiaron en 20 pacientes pediátricos con anomalías tronco-conales cardiovasculares las subpoblaciones de linfocitos T mediante el método de la fosfatasa alcalina antifosfatasa alcalina con los anticuerpos monoclonales específicos anti-CD3, anti-CD4 y anti-CD8. Se tomó como grupo control a 25 individuos supuestamente sanos. Se obtuvieron diferencias significativas para las subpoblaciones T CD3 y CD4 positivas (p < 0,05). El déficit inmunológico celular encontrado en estos pacientes indica la necesidad de incluir en el tratamiento de los mismos a inmunomoduladores para prevenir las complicaciones sépticas
Assuntos
Criança , Humanos , Cardiopatias Congênitas/classificação , Cardiopatias Congênitas/história , Cardiopatias Congênitas/patologia , Subpopulações de Linfócitos TRESUMO
A intervenção da enfermagem no pré, trans e pós-operatório e a integração das equipes de cada setor através de um roteiro sistematizado de assistência de enfermagem constitui o enfoque desta revisão. As equipes devem ser orientadas em relação à prevenção e ao diagnóstico precoce das complicações para favorecer a recuperação precoce da criança
Assuntos
Humanos , Criança , Cardiopatias Congênitas/enfermagem , Cardiopatias Congênitas/história , Cuidados Pós-Operatórios/enfermagem , Cuidados Pré-Operatórios/enfermagemRESUMO
Os autores comentam o historico da cardiologia pediatrica, desde os seus primordios ate os dias atuais, citando os principais nomes e as principais conquistas neste campo. Tambem fazem, ao final, um apanhado das principais perspectivas futuras no campo do diagnostico e do tratamento das varias cardiopatias congenitas