Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos
Background: Norwood procedure is used as the first stage in the palliative treatment of the hypoplastic heart syndrome and can be used, with some technical modifications, in other forms of univentricular heart with aortic stenosis or hypoplasia. These patients have a high mortality (50%), derived fr...
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Sociedad Médica de Santiago
2004
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oai:scielo:S0034-988720040005000042005-11-18Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatosBecker R,PedroFrangini S,PatriciaUrcelay M,GonzaloArretz V,ClaudioHeusser R,FelipeArnaiz G,PilarGaray G,FranciscoIrarrázaval L,Manuel JMorán V,SergioZalaquett S,RicardoMaturana B,GustavoCastillo N,Elisa Cardiovascular Surgical Procedures Heart defects, congenital Background: Norwood procedure is used as the first stage in the palliative treatment of the hypoplastic heart syndrome and can be used, with some technical modifications, in other forms of univentricular heart with aortic stenosis or hypoplasia. These patients have a high mortality (50%), derived from the procedure itself and from their abnormal physiological status. Aim: To report our experience with the Norwood procedure. Patients and methods: Retrospective analysis of all patients subjected to the Norwood procedure between February 2000 and June 2003. Results: Thirteen patients (9 females, age range 5-60 days and median weight of 3.3 kg) were operated. Eight had hypoplastic heart syndrome and five had a single ventricle with aortic arch hypoplasia. The diagnosis was done in utero in eight patients. All technical variations, according to the disposition and anatomy of the great vessels, are described. Cardiac arrest with profound hypothermia was used in all and regional cerebral perfusion was used in nine. Three patients died in the perioperative period and three died in the follow up (two, four and 10 months after the procedure). Gleen and Fontan procedures were completed in five and one patients, respectively. Conclusions: Our results with the Norwood procedure are similar to other series. There is an important mortality in the immediate operative period and prior to the Glenn procedure (Rev Méd Chile 2004; 132: 556-63).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.5 20042004-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000500004es10.4067/S0034-98872004000500004 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Cardiovascular Surgical Procedures Heart defects, congenital |
| spellingShingle |
Cardiovascular Surgical Procedures Heart defects, congenital Becker R,Pedro Frangini S,Patricia Urcelay M,Gonzalo Arretz V,Claudio Heusser R,Felipe Arnaiz G,Pilar Garay G,Francisco Irarrázaval L,Manuel J Morán V,Sergio Zalaquett S,Ricardo Maturana B,Gustavo Castillo N,Elisa Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| description |
Background: Norwood procedure is used as the first stage in the palliative treatment of the hypoplastic heart syndrome and can be used, with some technical modifications, in other forms of univentricular heart with aortic stenosis or hypoplasia. These patients have a high mortality (50%), derived from the procedure itself and from their abnormal physiological status. Aim: To report our experience with the Norwood procedure. Patients and methods: Retrospective analysis of all patients subjected to the Norwood procedure between February 2000 and June 2003. Results: Thirteen patients (9 females, age range 5-60 days and median weight of 3.3 kg) were operated. Eight had hypoplastic heart syndrome and five had a single ventricle with aortic arch hypoplasia. The diagnosis was done in utero in eight patients. All technical variations, according to the disposition and anatomy of the great vessels, are described. Cardiac arrest with profound hypothermia was used in all and regional cerebral perfusion was used in nine. Three patients died in the perioperative period and three died in the follow up (two, four and 10 months after the procedure). Gleen and Fontan procedures were completed in five and one patients, respectively. Conclusions: Our results with the Norwood procedure are similar to other series. There is an important mortality in the immediate operative period and prior to the Glenn procedure (Rev Méd Chile 2004; 132: 556-63). |
| author |
Becker R,Pedro Frangini S,Patricia Urcelay M,Gonzalo Arretz V,Claudio Heusser R,Felipe Arnaiz G,Pilar Garay G,Francisco Irarrázaval L,Manuel J Morán V,Sergio Zalaquett S,Ricardo Maturana B,Gustavo Castillo N,Elisa |
| author_facet |
Becker R,Pedro Frangini S,Patricia Urcelay M,Gonzalo Arretz V,Claudio Heusser R,Felipe Arnaiz G,Pilar Garay G,Francisco Irarrázaval L,Manuel J Morán V,Sergio Zalaquett S,Ricardo Maturana B,Gustavo Castillo N,Elisa |
| author_sort |
Becker R,Pedro |
| title |
Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| title_short |
Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| title_full |
Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| title_fullStr |
Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| title_full_unstemmed |
Cirugía paliativa mediante operación de Norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| title_sort |
cirugía paliativa mediante operación de norwood en distintas formas de corazón univentricular: resultados quirúrgicos inmediatos |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2004 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000500004 |
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