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New technique: Norwood operation with regional cerebral and coronary perfusion.
Furlanetto, Gláucio; Furlanetto, Beatriz H S; Henriques, Sandra S; Kapins, Carlos Eduardo B; Lopes, Lílian M; Olmos, Mario Carlos C; Cristóvão, Salvador André B; Medeiros, Patrícia M V P.
Afiliação
  • Furlanetto G; Centro de Cirurgia Cardíaco-Pediátrico, FM, USP. gfurlanetto@terra.com.br
Rev Bras Cir Cardiovasc ; 24(4): 447-52, 2009.
Article em En, Pt | MEDLINE | ID: mdl-20305916
OBJECTIVE: To assess the immediate result of the modified Norwood procedure with new technique of anterograde regional cerebral perfusion (ARCeP) and retrograde regional coronary perfusion (RRCoP) in substitution of profound hypothermia and circulatory arrest in children with hypoplastic left heart syndrome (HLHS) with extremely hypoplastic ascending aorta (HA). METHODS: In the period of December of 2006 to February 2008 the modified Norwood procedure with tube between the right ventricle and pulmonary arteries or Sano shunt was performed in eight children with HLHS and with ascending aorta diameter less than 3 mm, (four male and four female) with median age of 9.2 days (ranging from 1 to 29 days) and median weigh of 3.3 kg (ranging from 2.7 to 3.8 kg). We used cardiopulmonary bypass and hypothermia at 25 masculineC with two venous cannulas and suture with a polytetrafluoroethylene graft sutured to the innominate artery as an arterial line and used to ARCeP. The RRCoP was performed by a deviation in the arterial line and placement of a catheter in the ascending aorta. The immediate surgical results and the clinical neurological manifestation were assessed. RESULTS: The immediate surgical results revealed mortality of 25% and there were absence of neurological injury at clinical examination. CONCLUSIONS: The modified Norwood procedure can be accomplished with ARCeP and RRCoP in children with HLHS with HA with satisfactory immediate surgical result and without neurological complications.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aorta / Ponte Cardiopulmonar / Circulação Cerebrovascular / Síndrome do Coração Esquerdo Hipoplásico / Circulação Coronária / Procedimentos Cirúrgicos Cardíacos Limite: Female / Humans / Male / Newborn Idioma: En / Pt Revista: Rev Bras Cir Cardiovasc Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2009 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aorta / Ponte Cardiopulmonar / Circulação Cerebrovascular / Síndrome do Coração Esquerdo Hipoplásico / Circulação Coronária / Procedimentos Cirúrgicos Cardíacos Limite: Female / Humans / Male / Newborn Idioma: En / Pt Revista: Rev Bras Cir Cardiovasc Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2009 Tipo de documento: Article País de publicação: Brasil