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1.
World J Pediatr Congenit Heart Surg ; 15(2): 226-230, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37990527

RESUMO

Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation, and under ex utero intrapartum treatment proceeded with a median sternotomy and transatrial stenting for left atrial decompression due to findings of intact atrial septum on the fetal echocardiogram performed during the procedure. Subsequently, the patient underwent hybrid stage I palliation followed by a comprehensive stage II procedure at five months of age, but unfortunately died from postoperative complications.


Assuntos
Septo Interatrial , Síndrome do Coração Esquerdo Hipoplásico , Humanos , Gravidez , Feminino , Síndrome do Coração Esquerdo Hipoplásico/cirurgia , Cesárea , Átrios do Coração/cirurgia , Diagnóstico Pré-Natal , Resultado do Tratamento , Estudos Retrospectivos
2.
Rev. colomb. cir ; 37(2): 308-311, 20220316. fig
Artigo em Espanhol | LILACS | ID: biblio-1362980

RESUMO

Las hernias perineales presentan una incidencia variable entre el 0,3-6 %. El abordaje quirúrgico se puede realizar por vía perineal o por vía laparoscópica. Se presentan las imágenes de una paciente con una hernia perineal adquirida primaria, tratada exitosamente mediante un abordaje mixto.


Perineal hernias present a variable incidence between 0.3-6%. The surgical approach can be performed perineally or laparoscopically. Images of a patient with a primary acquired perineal hernia, successfully treated using a mixed approach, are presented.


Assuntos
Humanos , Diafragma da Pelve , Hérnia Abdominal , Laparoscopia , Hérnia
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