Biventricular Repair of Pulmonary Atresia After Fontan Palliation.
Ann Thorac Surg
; 101(4): 1574-6, 2016 Apr.
Article
em En
| MEDLINE
| ID: mdl-27000578
ABSTRACT
Fontan palliation is used when biventricular repair (BVR) is not possible. Early outcomes are acceptable; however, the long-term sequelae include protein-losing enteropathy, declining functional status, increased pulmonary vascular resistance, heart failure, and hepatic and renal dysfunction. These adverse events are characteristic of persistent venous hypertension and may be avoided if restoring biventricular circulation is possible. Arrhythmias are a common adverse event, particularly in patients with an atriopulmonary connection, which may lead to acute decompensation and early death. We describe a 30-year-old woman who underwent successful BVR for pulmonary atresia with intact ventricular septum and demonstrate that where favorable anatomy exists with a failing Fontan, BVR should be considered.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
6_ODS3_enfermedades_notrasmisibles
Problema de saúde:
6_cardiovascular_diseases
/
6_congenital_chromosomal_anomalies
Assunto principal:
Insuficiência da Valva Tricúspide
/
Bioprótese
/
Atresia Pulmonar
/
Técnica de Fontan
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Implante de Prótese de Valva Cardíaca
/
Ventrículos do Coração
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Ann Thorac Surg
Ano de publicação:
2016
Tipo de documento:
Article