Late Follow-up of Patients Submitted to Total Cavopulmonary Derivation: Clinical Aspects, Reinterventions, and Complications Interfering in Morbidity and Mortality
| Autor: | Natalia de Freitas Jatene Baranauskas, Ieda Biscegli Jatene, Paula Rodrigues Silva Machado Costa, Cristiane Felix Ximenes Pessotti, Thalyta Madeira Correa |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Reoperation Heart Defects Congenital lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment lcsh:Surgery Extracardiac conduit Fontan Procedure Statistics Nonparametric Hypoplastic left heart syndrome Fontan procedure Postoperative Complications medicine Humans Heart bypass Derivation Child Retrospective Studies business.industry Heart Bypass Right Infant Retrospective cohort study lcsh:RD1-811 General Medicine medicine.disease Thrombosis Surgery Treatment Outcome lcsh:RC666-701 Child Preschool Female Original Article Heart Ventricles/Pathology Morbidity Cardiology and Cardiovascular Medicine Complication business Brazil Follow-Up Studies |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery v.33 n.3 2018 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery, Vol 33, Iss 3, Pp 271-276 Brazilian Journal of Cardiovascular Surgery, Volume: 33, Issue: 3, Pages: 271-276, Published: JUN 2018 |
| ISSN: | 1678-9741 |
| DOI: | 10.21470/1678-9741-2017-0217 |
| Popis: | Objective: To identify main complications in outpatient follow-up, as well as factors before or during operation that may interfere in patient's evolution. Methods: Retrospective study of patients submitted to total cavopulmonary shunt with extracardiac conduit from 2000 to 2014 at the Hospital do Coração (São Paulo, Brazil) and who underwent clinical follow-up at this institution. Results: One hundred and fifty surgeries were performed and 59 patients maintained outpatient follow-up. The mean age of these patients at the time of surgery was 4.45 years (median of 45 months) and 70.2% of them were males. Among the patients undergoing outpatient follow-up, postoperative time at evaluation ranged from 10 days to 145 months; 30 (50.8%) patients had single left ventricle and 29 (49.2%) had single right ventricle (48.2% of these presented with hypoplastic left heart syndrome [HLHS]). Patients with single left ventricle had a higher percentage of reintervention-free survival, but without statistically significant difference. 40% of the patients had no complications and 35% of them presented with thrombosis at some point in the follow-up period, with ventricular dysfunction being the second most frequently found complication (15% of cases), mainly among patients with single right ventricle morphology (P=0.04). Between the patients currently under follow-up, 20 (35%) of them had been evaluated by ultrasonography and had some degree of hepatic congestion and/or hepatomegaly. 16.7% of the patients with such alteration had HLHS (P=0.057). Conclusion: Except for the right ventricular morphology, no other factor has been shown to interfere in late evolution after total cavopulmonary shunt. |
| Databáze: | OpenAIRE |
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