Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil
Abstract Introduction: Although it only corresponds to 2.5% of congenital heart defects, hypoplastic left heart syndrome (HLHS) is responsible for more than 25% of cardiac deaths in the first week of life. Palliative surgery performed after the second week of life is considered an important risk fa...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300210&lng=en&tlng=en |
| _version_ | 1818231390882234368 |
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| author | Renato Max Faria Juliana Torres Pacheco Itamar Ribeiro de Oliveira José Madson Vidal Anilton Bezerra Rodrigues Junior Ana Luiza Lafeta Costa Vinicius José da Silva Nina Marcelo Matos Cascudo |
| author_facet | Renato Max Faria Juliana Torres Pacheco Itamar Ribeiro de Oliveira José Madson Vidal Anilton Bezerra Rodrigues Junior Ana Luiza Lafeta Costa Vinicius José da Silva Nina Marcelo Matos Cascudo |
| author_sort | Renato Max Faria |
| collection | DOAJ |
| description | Abstract Introduction: Although it only corresponds to 2.5% of congenital heart defects, hypoplastic left heart syndrome (HLHS) is responsible for more than 25% of cardiac deaths in the first week of life. Palliative surgery performed after the second week of life is considered an important risk factor in the treatment of HLHS. Objective: The aim of this study is to describe the initial experience of a medical center in Northeastern Brazil with a modified off-pump hybrid approach for palliation of HLHS. Methods: From November 2012 through November 2015, the medical records of 8 patients with HLHS undergoing hybrid procedure were retrospectively evaluated in a tertiary private hospital in Northeastern Brazil. The modified off-pump hybrid palliation consisted of stenting of the ductus arteriosus guided by fluoroscopy without contrast and banding of the main pulmonary artery branches. Demographic and clinical variables were recorded for descriptive analysis. Results: Eight patients were included in this study, of whom 37.5% were female. The median age and weight at the time of the procedure was 2 days (p25% and p75% = 2 and 4.5 days, respectively) and 3150 g (p25% and p75% = 3077.5 g and 3400 g, respectively), respectively. The median length in intensive care unit stay was 6 days (p25% and p75% = 3.5% and 8 days, respectively). There were no in-hospital deaths. Four patients have undergone to the second stage of the surgical treatment of HLHS. Conclusion: In this series, the initial experience with the modified off-pump hybrid procedure showed to be safe, allowing a low early mortality rate among children presenting HLHS. |
| first_indexed | 2024-12-12T10:49:38Z |
| format | Article |
| id | doaj.art-5cf0f0931a14472583d134103b75d73d |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T10:49:38Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-5cf0f0931a14472583d134103b75d73d2022-12-22T00:26:48ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974132321021410.21470/1678-9741-2017-0058S0102-76382017000300210Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern BrazilRenato Max FariaJuliana Torres PachecoItamar Ribeiro de OliveiraJosé Madson VidalAnilton Bezerra Rodrigues JuniorAna Luiza Lafeta CostaVinicius José da Silva NinaMarcelo Matos CascudoAbstract Introduction: Although it only corresponds to 2.5% of congenital heart defects, hypoplastic left heart syndrome (HLHS) is responsible for more than 25% of cardiac deaths in the first week of life. Palliative surgery performed after the second week of life is considered an important risk factor in the treatment of HLHS. Objective: The aim of this study is to describe the initial experience of a medical center in Northeastern Brazil with a modified off-pump hybrid approach for palliation of HLHS. Methods: From November 2012 through November 2015, the medical records of 8 patients with HLHS undergoing hybrid procedure were retrospectively evaluated in a tertiary private hospital in Northeastern Brazil. The modified off-pump hybrid palliation consisted of stenting of the ductus arteriosus guided by fluoroscopy without contrast and banding of the main pulmonary artery branches. Demographic and clinical variables were recorded for descriptive analysis. Results: Eight patients were included in this study, of whom 37.5% were female. The median age and weight at the time of the procedure was 2 days (p25% and p75% = 2 and 4.5 days, respectively) and 3150 g (p25% and p75% = 3077.5 g and 3400 g, respectively), respectively. The median length in intensive care unit stay was 6 days (p25% and p75% = 3.5% and 8 days, respectively). There were no in-hospital deaths. Four patients have undergone to the second stage of the surgical treatment of HLHS. Conclusion: In this series, the initial experience with the modified off-pump hybrid procedure showed to be safe, allowing a low early mortality rate among children presenting HLHS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300210&lng=en&tlng=enHypoplastic Left Heart SyndromeCongenital AbnormalitiesBandagesAngioplastyContrast Media |
| spellingShingle | Renato Max Faria Juliana Torres Pacheco Itamar Ribeiro de Oliveira José Madson Vidal Anilton Bezerra Rodrigues Junior Ana Luiza Lafeta Costa Vinicius José da Silva Nina Marcelo Matos Cascudo Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil Brazilian Journal of Cardiovascular Surgery Hypoplastic Left Heart Syndrome Congenital Abnormalities Bandages Angioplasty Contrast Media |
| title | Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil |
| title_full | Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil |
| title_fullStr | Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil |
| title_full_unstemmed | Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil |
| title_short | Modified Hybrid Procedure in Hypoplastic Left Heart Syndrome: Initial Experience of a Center in Northeastern Brazil |
| title_sort | modified hybrid procedure in hypoplastic left heart syndrome initial experience of a center in northeastern brazil |
| topic | Hypoplastic Left Heart Syndrome Congenital Abnormalities Bandages Angioplasty Contrast Media |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000300210&lng=en&tlng=en |
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