دورية أكاديمية
Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension.
| العنوان: | Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension. |
|---|---|
| المؤلفون: | Penha JG; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Zorzanelli L; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Barbosa-Lopes AA; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Atik E; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Miana LA; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Tanamati C; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Caneo LF; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Miura N; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Aiello VD; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Jatene MB; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. |
| المصدر: | Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2015 Oct; Vol. 105 (4), pp. 353-61. Date of Electronic Publication: 2015 Aug 18. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Sociedad Brasileira De Cardiologia Country of Publication: Brazil NLM ID: 0421031 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1678-4170 (Electronic) Linking ISSN: 0066782X NLM ISO Abbreviation: Arq Bras Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Sao Paulo : Sociedad Brasileira De Cardiologia |
| مواضيع طبية MeSH: | Arterial Switch Operation/*methods , Hypertension, Pulmonary/*surgery , Palliative Care/*methods , Transposition of Great Vessels/*surgery, Biopsy ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Heart Atria/surgery ; Humans ; Hypertension, Pulmonary/pathology ; Infant ; Infant, Newborn ; Male ; Medical Illustration ; Oxygen/metabolism ; Quality of Life ; Retrospective Studies ; Time Factors ; Transposition of Great Vessels/pathology ; Treatment Outcome |
| مستخلص: | Background: Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level. Objective: Report our institutional experience with the palliative Senning procedure in children diagnosed with TGA and double outlet right ventricle with severe pulmonary vascular disease, and to evaluate the early and late clinical progression of the palliative Senning procedure. Methods: Retrospective study based on the evaluation of medical records in the period of 1991 to 2014. Only patients without an indication for definitive surgical treatment of the cardiopathy due to elevated pulmonary pressure were included. Results: After one year of follow-up there was a mean increase in arterial oxygen saturation from 62.1% to 92.5% and a mean decrease in hematocrit from 49.4% to 36.3%. Lung histological analysis was feasible in 16 patients. In 8 patients, pulmonary biopsy grades 3 and 4 were evidenced. Conclusion: The palliative Senning procedure improved arterial oxygen saturation, reduced polycythemia, and provided a better quality of life for patients with TGA with ventricular septal defect, severe pulmonary hypertension, and poor prognosis. |
| References: | Ann Thorac Surg. 2011 Dec;92(6):2206-13; discussion 2213-4. (PMID: 21962265) Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2000;3:186-197. (PMID: 11486197) Ann Thorac Surg. 2004 Feb;77(2):464-8; discussion 468-9. (PMID: 14759418) J Thorac Cardiovasc Surg. 1988 Sep;96(3):364-7. (PMID: 2457773) J Thorac Cardiovasc Surg. 1966 Oct;52(4):486-501. (PMID: 5331790) Ann Thorac Surg. 2004 Jun;77(6):2250-8. (PMID: 15172322) Heart. 2009 Feb;95(4):312-7. (PMID: 18952635) J Thorac Cardiovasc Surg. 1972 Jan;63(1):75-80. (PMID: 4109304) Circulation. 1966 Feb;33(2):232-41. (PMID: 25823096) Circulation. 1999 Nov 9;100(19 Suppl):II176-81. (PMID: 10567300) Circulation. 1984 Apr;69(4):655-67. (PMID: 6697454) Eur J Cardiothorac Surg. 1996;10(7):546-50. (PMID: 8855427) Circulation. 1958 Dec;18(6):1167-74. (PMID: 13608847) Am J Cardiol. 1974 Jul;34(1):75-82. (PMID: 4835757) Circulation. 2006 Dec 12;114(24):2699-709. (PMID: 17159076) J Thorac Cardiovasc Surg. 1976 Sep;72(3):364-70. (PMID: 957754) Circulation. 2006 Jul 4;114(1):48-54. (PMID: 16801459) Circulation. 1958 Oct;18(4 Part 1):533-47. (PMID: 13573570) Circulation. 1978 Dec;58(6):1107-22. (PMID: 709766) Ann Thorac Surg. 1993 Oct;56(4):854-61; discussion 861-2. (PMID: 8215661) J Thorac Cardiovasc Surg. 1984 Mar;87(3):371-8. (PMID: 6230490) Eur J Cardiothorac Surg. 2008 Jun;33(6):1061-7; discussion 1067-8. (PMID: 18164623) |
| المشرفين على المادة: | S88TT14065 (Oxygen) |
| تواريخ الأحداث: | Date Created: 20151113 Date Completed: 20160330 Latest Revision: 20181113 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4632999 |
| DOI: | 10.5935/abc.20150097 |
| PMID: | 26559982 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4170 |
|---|---|
| DOI: | 10.5935/abc.20150097 |