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Role of Computed Tomography Angiography in the Short-Term Follow-up of Aortic Coarctation Repair ShortTerm Short Term Followup Follow up
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Cardoso, Mariana Ribeiro Rodero

; Crestani, Ariela Maltarolo

; Souza, Antônio Soares

; Braga, Fernanda Del Campo Braojos

; Brun, Marília Maroneze

; Murakami, Alexandre Noboru

; Cajueiro, Francisco Candido Monteiro

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 1 elocation e20230220

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Coarctation of the aorta (CoA) is a narrowing of the thoracic aorta that often manifests as discrete stenosis but may be tortuous or in long segment. The study aimed to evaluate pre and post-surgical aspects of pediatric patients submitted to CoA surgical correction and to identify possible predisposing factors for aortic recoarctation. Methods: Twenty-five patients were divided into groups according to presence (N=8) or absence (N=17) of recoarctation after surgical correction of CoA and evaluated according to clinical-demographic profile, vascular characteristics via computed angiotomography (CAT), and other pathological conditions. Results: Majority of males (64%), ≥ 15 days old (76%), ≥ 2.5 kg (80%). There was similarity between groups with and without recoarctation regarding sex (male: 87% vs. 53%; P=0.277), age (≥ 15 days: 62.5 vs. 82%; P=0.505), and weight (≥ 2.5 kg: 87.5 vs. 76.5; P=0,492). Altered values of aortic root/Valsalva diameter, proximal transverse arch, and distal isthmus, and normal values for aorta prevailed in preoperative CAT. Normal values for the aortic root/Valsalva sinus diameter were observed with and without recoarctation, the same for both groups regarding ascending and descending aorta in postoperative CAT. No significant difference for altered values of proximal transverse arch and alteration in distal isthmus was observed. Conclusion: No predictive risk for recoarctation was observed. CTA proved to be important in CoA diagnosis and management, since CoA is mainly related with altered diameter of aortic root/sinus of Valsalva and proximal and distal aortic arch/isthmus, however, it failed to show predictive risk for recoarctation. Introduction (CoA segment postsurgical post Methods Twentyfive Twenty five N=8 N8 N 8 (N=8 N=17 N17 17 (N=17 clinicaldemographic clinical demographic profile CAT, CAT , (CAT) conditions Results 64%, 64 64% (64%) 1 76%, 76 76% (76%) 25 2 5 2. 80%. 80 80% . (80%) male (male 87 vs 53% 53 P=0.277, P0277 P P=0.277 0 277 P=0.277) ( 625 62 62. 82% 82 P=0.505, P0505 P=0.505 505 P=0.505) 875 87. 76.5 765 P=0,492. P0492 P=0,492 492 P=0,492) rootValsalva root Conclusion management rootsinus archisthmus arch/isthmus however N= (N= N=1 N1 (N=1 (CAT 6 (64% 7 (76% (80% P027 P=0.27 27 P050 P=0.50 50 76. P049 P=0,49 49 (N (64 (76 (80 P02 P=0.2 P05 P=0.5 P04 P=0,4 4 (6 (7 (8 P0 P=0. P=0, P=0 P=

https://doi.org/10.21470/1678-9741-2023-0220

Challenges of Congenital Heart Surgery in Brazil: It is Time to Designate Pediatric Congenital Heart Surgery Subspecialty Brazil
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Pinto Júnior, Valdester Cavalcante

; Miana, Leonardo Augusto

; Navarro, Fábio Binhara

; Rocha, Bruno da Costa

; Assad, Renato Samy

; Oliveira, Marcos Aurélio Barboza de

; Salum, Fábio Said

; Croti, Ulisses Alexandre

; Furlanetto, Beatriz Helena Sanches

; Jatene, Marcelo Biscegli

; Caneo, Luiz Fernando

; Monteiro, Andrey José de Oliveira

; Moraes Neto, Fernando Ribeiro de

; Antoniali, Fernando

; Salerno, Pedro Rafael

; Nina, Vinicius José da Silva

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 4 elocation e20240138

Abstract: En | Text: En | PDF: En

ABSTRACT Congenital heart disease (CHD) affects eight to ten out of every 1,000 births, resulting in approximately 23,057 new cases in Brazil in 2022. About one in four children with CHD requires surgery or other procedures in the first year of life, and it is expected that approximately 81% of these children with CHD will survive until at least 35 years of age. Professionals choosing to specialize in CHD surgery face numerous challenges, not only related to mastering surgical techniques and the complexity of the diseases but also to the lack of recognition by medical societies as a separate subspecialty. Furthermore, families face difficulties when access to services capable of providing treatment for these children. To address these challenges, it is essential to have specialized hospitals, qualified professionals, updated technologies, sustainable industry, appropriate financing, quality assessment systems, and knowledge generation. The path to excellence involves specialization across all involved parties. As we reflect on the importance of Pediatric Cardiovascular Surgery and Congenital Heart Diseases establishing themselves as a subspecialty of Cardiovascular Surgery, it is essential to look beyond our borders to countries like the United States of America and United Kingdom, where this evolution is already a reality. This autonomy has led to significant advancements in research, education, and patient care outcomes, establishing a care model. By following this path in Brazil, we not only align our practice with the highest international standards but also demonstrate our maturity and the ability to meet the specific needs of patients with CHD and those with acquired childhood heart disease. (CHD 1000 1 000 1,00 births 23057 23 057 23,05 2022 life 81 3 age challenges Furthermore hospitals professionals technologies industry financing systems generation parties Kingdom reality research education outcomes model 100 00 1,0 2305 2 05 23,0 202 8 10 0 1, 230 23, 20

https://doi.org/10.21470/1678-9741-2024-0138

Children’s HeartLink Certifies Center of Excellence in Brazil Childrens Children s
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Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Tsakistos, Andreas

; Boucher, Jackie

; Zheleva, Bistra

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 1 elocation e20230485

Abstract: En | Text: En | PDF: En

https://doi.org/10.21470/1678-9741-2023-0485

Infant Barlow’s Disease in Association with Atrial Septal Defect Barlows Barlow s
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Silva, Isaac Azevedo

; Matos, Larissa Ales Leite

; Sant’Anna, Carolina

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 4 elocation e20230278

Abstract: En | Text: En | PDF: En

ABSTRACT Clinical data: Female, seven years old, referred to our service complaining about congestive heart failure symptoms due to mitral valve regurgitation and atrial septal defect. Technical description: Echocardiographic findings compatible with Barlow’s disease and atrial septal defect, ostium secundum type. Operation: She was submitted to mitral valvuloplasty with chordal shortening and prosthetic posterior ring (Gregori-Braile®) along with patch atrioseptoplasty. Comments: Mitral valve regurgitation is a rare congenital heart disease and Barlow’s disease is probably rarer. Mitral valve repair is the treatment of choice. data Female old defect description Barlows Barlow s type Operation GregoriBraile® GregoriBraile Gregori Braile® Braile (Gregori-Braile® atrioseptoplasty Comments rarer choice (Gregori-Braile

https://doi.org/10.21470/1678-9741-2023-0278

Modified Senning Procedure for Treatment of Transposition of the Great Arteries with Crisscross Heart
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Godoy, Ana Carolina Pereira de

; Brun, Marilia Maroneze

; Avona, Fabiana Nakamura

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 6 elocation e20230244

Abstract: En | Text: En | PDF: En

ABSTRACT Clinical data: A nine-month-old female infant diagnosed with transposition of the great arteries with symptoms of heart failure associated with cyanosis and difficulty in gaining weight was referred to our center with late diagnosis (at nine months of age). Chest radiography: Cardiomegaly; attenuated peripheral vascular markings. Electrocardiography: Sinus rhythm with biventricular overload and aberrantly conducted supraventricular extra systoles. Echocardiography: Wide atrial septal defect, ventricular axis torsion with concordant atrioventricular connection and discordant ventriculoarterial connection. Computed tomography angiography: Concordant atrioventricular connection, right ventricle positioned superiorly and left ventricle positioned inferiorly; discordant ventriculoarterial connection with right ventricle connected to the aorta and left ventricle connected to pulmonary artery. Diagnosis: Crisscross heart is a rare congenital heart defect, accounting for 0.1% of congenital heart diseases. It consists of the 90º rotation of ventricles’ axis in relation to their normal position; therefore, ventricles are positioned in the superior-inferior direction rather than anterior-posterior. Most cases have associated cardiac anomalies, and in this case, it is associated with transposition of the great arteries. The complexity and rarity of its occurrence make diagnosis and surgical treatment challenging. Operation: Modified Senning procedure using the pericardial sac in the construction of a tunnel from pulmonary veins to the right atrium. Cardiopulmonary bypass time of 147 minutes with nine minutes of total circulatory arrest. data ninemonthold month old at age. age . age) radiography Cardiomegaly markings Electrocardiography systoles Echocardiography defect angiography inferiorly artery Diagnosis 01 0 1 0.1 diseases º position therefore superiorinferior superior inferior anteriorposterior. anteriorposterior anterior posterior. posterior anterior-posterior anomalies case challenging Operation atrium 14 arrest 0.

https://doi.org/10.21470/1678-9741-2023-0244

Tetralogy of Fallot with an Anomalous Course of the Brachiocephalic Vein
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Matos, Larissa Alves Leite

; Silva, Isaac Azevedo

; Santos, Fernando Cesar Gimenes Barbosa

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2023, Volume 38 N. 5 elocation e20230047

Abstract: En | Text: En | PDF: En

ABSTRACT Clinical data: Infant, 11-month-old, male, diagnosis of Tetralogy of Fallot with retrotracheoesophageal course of the brachiocephalic vein. Usual findings of Tetralogy of Fallot on physical examination. Technical description: Chest radiography showed slightly reduced pulmonary vascular markings and no cardiomegaly. Normal preoperative electrocardiogram with postoperative right bundle branch block. Usual findings of Tetralogy of Fallot on echocardiogram. Postoperative computed tomography angiography confirmed left brachiocephalic vein with anomalous retrotracheoesophageal course, configuring a U-shaped garland vein, in addition to postoperative findings of total correction of Tetralogy of Fallot. Operation: Complete surgical repair was performed with pulmonary valve commissurotomy and placement of bovine pericardial patch to solve right ventricular outflow tract obstruction, pulmonary trunk enlargement, and ventricular septal defect closure. Comments: Systemic venous drainage may show variations in patients with Tetralogy of Fallot. These abnormalities are usually of little clinical relevance, as they are asymptomatic. We presented a rare case of retrotracheoesophageal course of an anomalous left brachiocephalic vein with intraoperative diagnosis, confirmed by imaging during postoperative follow-up, without compromising clinical management or surgical approach. data Infant 11monthold, 11monthold monthold 11 month old, old 11-month-old male examination description cardiomegaly block echocardiogram Ushaped U shaped Operation obstruction enlargement closure Comments relevance asymptomatic followup, followup follow up, up follow-up approach 1

https://doi.org/10.21470/1678-9741-2023-0047

Use of Ozonized Water in the Prevention of Surgical Site Infection in Children Undergoing Cardiovascular Surgery
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Murakami, Alexandre Noboru

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Murakami, Rouse Mary Rossini

; Almeida, Margarete Teresa Gottardo de

; Policarpo, Rafael da Silva

; Avona, Fabiana Nakamura

; Godoy, Moacir Fernandes de

Brazilian Journal of Cardiovascular Surgery

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2023, Volume 38 N. 6 elocation e20230006

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Since the reduction of healthcare-associated infections has been a focus for quality patient care, this study aimed to evaluate the surgical site infection rate of children who underwent cardiovascular surgery after implementation of ozonized water system for hand and body hygiene allied to previously implemented preventive measures. Methods: Two uniformly comparable groups of pediatric patients underwent cardiovascular surgery. Group A (187) patients were operated prior to installation of ozonized water system (March 1 to August 31, 2019), and group B (214) patients were operated after installation of ozonized water system (October 1, 2019, to March 31, 2020). Ozonized water was used for professional hand hygiene and patient body hygiene. Results: There was statistical significance for surgical site infection reduction in group B (P=0.0289), with a relative risk of 0.560 (95% confidence interval = 0.298 to 0.920), inferring the risk of being diagnosed with surgical site infections in group B was 44% less than in group A. There was no statistical significance regarding mechanical ventilation time (P=0.1998) or mortality (P=0.4457). Conclusion: Ozonized water for professional hand hygiene and patient body hygiene was an adjuvant combined with traditional preventive methods to reduce the risk of surgical site infection, although no impact on hospital stay or mortality was observed. Introduction healthcareassociated healthcare associated care measures Methods 187 (187 31 2019 , 2019) 214 (214 October 2020. 2020 . 2020) Results P=0.0289, P00289 P P=0.0289 0 0289 (P=0.0289) 0560 560 0.56 95% 95 (95 0298 298 0.29 0.920, 0920 0.920 920 0.920) 44 P=0.1998 P01998 1998 (P=0.1998 P=0.4457. P04457 P=0.4457 4457 (P=0.4457) Conclusion observed 18 (18 3 201 21 (21 202 P0028 P=0.028 028 (P=0.0289 056 56 0.5 9 (9 029 29 0.2 092 0.92 92 4 P=0.199 P0199 199 (P=0.199 P0445 P=0.445 445 (P=0.4457 (1 20 2 (2 P002 P=0.02 02 (P=0.028 05 5 0. ( 09 0.9 P=0.19 P019 19 (P=0.19 P044 P=0.44 (P=0.445 P00 P=0.0 (P=0.02 P=0.1 P01 (P=0.1 P04 P=0.4 (P=0.44 P0 P=0. (P=0.0 (P=0. (P=0.4 P=0 (P=0 P= (P= (P

https://doi.org/10.21470/1678-9741-2023-0006

Abernethy Malformation: Possible Diagnosis for Patients with Congenital Heart Disease and Persistent Cyanosis Malformation
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Brun, Marilia Maroneze

; Cardoso, Mariana Rodero

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2023, Volume 38 N. 2 Pages 300 - 304

Abstract: En | Text: En | PDF: En

ABSTRACT Clinical data: Infant, nine months of age, female, diagnosed with congenital heart disease, with signs of heart failure associated with cyanosis and difficulty in gaining weight. Chest radiography: Cardiomegaly with prevalence of pulmonary vascular network. Electrocardiogram: Ectopic atrial rhythm with right ventricular overload and left anterosuperior divisional block. Echocardiogram: Single atrium with absent interatrial septum, atrioventricular connection with a single valve and two orifices, with increased pulmonary pressure and high Qp/Qs. Computed tomography: Absence of portal vein and intrahepatic segment of the inferior vena cava. Infrahepatic portion continuing with the azygos system at the level of the thoracic cavity, presence of mesenteric-caval communication associated with signs suggestive of hepatic peribiliary fibrosis. Diagnosis: Abernethy malformation is a rare condition and represents an extrahepatic portosystemic shunt that develops between the mesenteric-portal vasculature and the systemic veins. It may be associated with cardiac malformations and advance with pulmonary hypertension and even the need for liver transplantation. Persistent cyanosis after corrective surgery led to a deeper investigation and correct diagnosis of this malformation. Operation: Sternotomy with 68 minutes of cardiopulmonary bypass and nine minutes of total circulatory arrest. In the postoperative period, persistence of cyanosis was evident, even though there were no immediate complications. Patient was discharged on the 10th postoperative day. An abdominal computed tomography angiography confirmed the diagnosis of Abernethy type I malformation, and the patient was transferred for liver transplantation after congenital heart disease treatment. data Infant age female weight radiography network Electrocardiogram block Echocardiogram septum orifices QpQs Qp Qs Qp/Qs cava cavity mesentericcaval mesenteric caval fibrosis Diagnosis mesentericportal veins Operation 6 arrest period evident complications th day treatment

https://doi.org/10.21470/1678-9741-2022-0110

Pediatric Heart Transplant: Initial Experience in a Tertiary Center in Brazil
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Cajueiro, Francisco Candido Monteiro

; Croti, Ulisses Alexandre

; Barufi, Alexandra Regina Siscar

; Bodini, André Luís de Andrade

; Postigo, Karolyne Barroca Sanches

; Marchi, Carlos Henrique De

; Santos, Fernando Cesar Gimenes Barbosa

; Beani, Lilian

; Borim, Bruna Cury

; Godoy, Moacir Fernandes

; Moscardini, Airton Camacho

Brazilian Journal of Cardiovascular Surgery

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jun 2022, Volume 37 N. 3 Pages 281 - 291

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Pediatric heart transplantation is the definitive therapy for children with end-stage heart failure. This paper describes our initial experience in pediatric heart transplantation in a tertiary center in Brazil Methods: This is a historical prospective descriptive cohort study based on a review of the medical records of children undergoing heart transplantation at Hospital de Base and Hospital da Criança e Maternidade de São José do Rio Preto. Variables were displayed as frequency, mean, or median. Statistical analysis and Kaplan-Meier actuarial curve were obtained with the aid of Microsoft® Excel® 2019 and STATSDirect version 3.3.5. Results: Between January 2010 and December 2020, ten children underwent bicaval orthotopic heart transplantation, 30% of which were under one year of age. Nine patients had end-stage heart failure (International Society for Heart and Lung Transplantation-Heart Failure D) and 50% of the recipients were transplanted under conditions of progressive clinical deterioration (Interagency Registry for Mechanically Assisted Circulatory Support ≤ 2). Forty percent of the recipients had a panel-reactive antibody > 20% on virtual crossmatch. In the postoperative period, 80% of patients required high dose of inotropic support (vasoactive-inotropic score > 10) for > 48 hours. The death-free survival rate at 131 months was 77.1±14.4%. Most patients (88.9%) in late follow-up had an episode of active cytomegalovirus infection. Cellular rejection, with or without clinical repercussion, was present in 44.4% of the patients. Conclusion: Pediatric heart transplantation produces acceptable and feasible outcomes as definitive therapy for children with end-stage heart failure.

https://doi.org/10.21470/1678-9741-2021-0483

10.

Common Arterial Trunk with Interrupted Aortic Arch
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Estephan, Lys Molina Hernandes

; Aranda, Aline Simões

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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feb 2022, Volume 37 N. 1 Pages 131 - 134

Abstract: En | Text: En | PDF: En

Abstract Clinical data: Patient diagnosed with common arterial trunk, submitted to pulmonary artery banding in another center and lost to clinical follow-up. Referred to our center at four years old, extremely cyanotic. Chest radiography: Cardiomegaly; attenuated peripheral vascular markings. Electrocardiography: Right ventricular hypertrophy. Echocardiography: Common arterial trunk, but it was not possible to analyze all the structures. Computed tomography angiography: Van Praagh type A4 common arterial trunk. Extremely hypoplastic right and left pulmonary arteries. Diagnosis: Association of aortic arch interruption type A is uncommon and should be considered. Operation: Debanding of pulmonary arteries allowing for possible future complete repair.

https://doi.org/10.21470/1678-9741-2021-0008

11.

Abernethy Malformation: Possible Diagnosis for Patients with Congenital Heart Disease and Persistent Cyanosis
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Brun, Marilia Maroneze

; Cardoso, Mariana Rodero

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.21470/1678-9741-2022-0110

12.

COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian Experience
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Gomes, Walter J.

; Rocco, Isadora

; Pimentel, Wallace S.

; Pinheiro, Aislan H. B.

; Souza, Paulo M. S.

; Costa, Luiz A. A.

; Teixeira, Marjory M. P.

; Ohashi, Leonardo P.

; Bublitz, Caroline

; Begot, Isis

; Moreira, Rita Simone L

; Hossne Jr, Nelson A.

; Vargas, Guilherme F.

; Branco, João Nelson R.

; Teles, Carlos A.

; Medeiros, Eduardo A. S.

; Sáfadi, Camila

; Rampinelli, Amândio

; Moratelli Neto, Leopoldo

; Rosado, Anderson Rosa

; Mesacasa, Franciele Kuhn

; Capriata, Ismael Escobar

; Segalote, Rodrigo Coelho

; Palmieri, Deborah Louize da Rocha Vianna

; Jardim, Amanda Cristina Mendes

; Vianna, Diego Sarty

; Coutinho, Joaquim Henrique de Souza Aguiar

; Jazbik, João Carlos

; Coutinho, Henrique Madureira da Rocha

; Kikuta, Gustavo

; Almeida, Zely Sant'Anna Marotti de

; Feguri, Gibran Roder

; Lima, Paulo Ruiz Lucio de

; Franco, Anna Carolina

; Borges, Danilo de Cerqueira

; Cruz, Felipe Ramos Honorato De La

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Goraieb, Lilian

; Postigo, Karolyne Barroca Sanches

; Jucá, Fabiano Gonçalves

; Oliveira, Fátima Rosane de Almeida

; Souza, Rafael Bezerra de

; Zilli, Alexandre Cabral

; Mas, Raul Gaston Sanchez

; Bettiati Junior, Luiz Carlos

; Tranchesi, Ricardo

; Bertini Jr, Ayrton

; Franco, Leandro Vieira

; Fernandes, Priscila

; Oliveira, Fabiana

; Moraes Jr, Roberto

; Araújo, Thiago Cavalcanti Vila Nova de

; Braga, Otávio Penna

; Pedrosa Sobrinho, Antônio Cavalcanti

; Teixeira, Roberta Tavares Barreto

; Camboim, Irla Lavor Lucena

; Gomes, Eduardo Nascimento

; Reis, Pedro Horigushi

; Garcia, Luara Piovan

; Scorsioni, Nelson Henrique Goes

; Lago, Roberto

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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dec 2021, Volume 36 N. 6 Pages 725 - 735

Abstract: En | Text: En | PDF: En

Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.

https://doi.org/10.21470/1678-9741-2021-0960

13.

Isolated Coarctation Repair in Neonates and Infants Through Left Thoracotomy: Short-Term Outcomes Thoracotomy ShortTerm Short Term
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Murakami, Alexandre Noboru

; Croti, Ulisses Alexandre

; Cajueiro, Francisco Candido Monteiro

; Arteaga, Grace

; Pike, Roxann Barnes

; Moscardini, Airton Camacho

; Marchi, Carlos Henrique De

; Cardoso, Mariana Ribeiro Rodero

; Santos, Fernando Cesar Gimenes Barbosa

; Borim, Bruna Cury

Brazilian Journal of Cardiovascular Surgery

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aug 2021, Volume 36 N. 4 Pages 461 - 467

Abstract: En | Text: En | PDF: En

Abstract Introduction: End-to-end anastomosis and extended end-to-end anastomosis are typically used as surgical approaches to coarctation of the aorta (CoAo) with access at the subclavian artery or an interposition graft. The objective of this study is to analyze the impact of surgical and anatomical characteristics and techniques on early outcomes after surgical treatment of CoAo without cardiopulmonary bypass through left thoracotomy. Methods: This is a quantitative, observational, and cross-sectional analysis of patients who underwent repair of CoAo between July 1, 2010 and December 31, 2017. Seventy-two patients were divided into three groups according to age: 34 in group A (≤ 30 days), 24 in group B (31 days to one year), and 14 in group C (≥ 1 year to 18 years). Results: Aortic arch hypoplasia was associated in 30.8% of the cases, followed by ventricular septal defect (13.2%). The preductal location was more frequent in group A (73.5%), ductal in group B (41.7%), and postductal in group C (71.4%). Long coarcted segment was predominant in groups A and C (61.8% and 71.4%, respectively) and localized in group B (58.3%). Extended end-to-end anastomosis technique was prevalent (68%), mainly in group A (91.2%). Mortality in 30 days was 1.4%. Conclusion: Most of the patients were children under one year of age, and extended end-to-end anastomosis was the most used technique, secondary to arch hypoplasia. Further, overall mortality was low in spite of moderate morbidity in the first 30 postoperative days. Introduction Endtoend End end endtoend (CoAo graft thoracotomy Methods quantitative observational crosssectional cross sectional 201 31 2017 Seventytwo Seventy two age 3 ≤ ( days, , days) 2 (3 year, year) ≥ years. years . years) Results 308 8 30.8 cases 13.2%. 132 13.2% 13 (13.2%) 73.5%, 735 73.5% 73 5 (73.5%) 41.7%, 417 41.7% 41 7 (41.7%) 71.4%. 714 71.4% 71 4 (71.4%) 61.8% 618 61 (61.8 respectively 58.3%. 583 58.3% 58 (58.3%) 68%, 68 68% (68%) 91.2%. 912 91.2% 91 (91.2%) 1.4% Conclusion Further 20 30. 13.2 (13.2% 73.5 (73.5% 41.7 (41.7% 71.4 (71.4% 61.8 6 (61. 58.3 (58.3% (68% 91.2 9 (91.2% 1.4 13. (13.2 73. (73.5 41. (41.7 71. (71.4 61. (61 58. (58.3 (68 91. (91.2 1. (13. (73. (41. (71. (6 (58. (91. (13 (73 (41 (71 (58 (91 (1 (7 (4 (5 (9

https://doi.org/10.21470/1678-9741-2020-0554 38 downloads

14.

50 Years of Children’s HeartLink and the Partnerships in Brazil
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Croti, Ulisses Alexandre

; Pinto Junior, Valdester Cavalcante

; Jatene, Marcelo Biscegli

; Tsakistos, Andreas

; Zheleva, Bistra

Brazilian Journal of Cardiovascular Surgery

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apr 2020, Volume 35 N. 2 Pages IV - VI

Abstract: En | Text: En | PDF: En

https://doi.org/10.21470/1678-9741-2019-0426 133 downloads

15.

Rare Association Between Atrioventricular Septal Defect and Partial Anomalous Pulmonary Venous Connection
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Murakami, Alexandre Noboru

; Baston, Gabriela Guimarães

; Cardoso, Mariana Ribeiro Rodero

; Marchi, Carlos Henrique De

; Croti, Ulisses Alexandre

Brazilian Journal of Cardiovascular Surgery

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dec 2019, Volume 34 N. 6 Pages 765 - 768

Abstract: En | Text: En | PDF: En

Abstract Clinical data: Infant, 7 months, female, referred to our department at one month of age, suspecting of congenital heart disease for further investigation. Chest radiography: Demonstrates cardiomegaly and prominent pulmonary vascular markings. Electrocardiography: Shows right ventricular hypertrophy and left anterior fascicular block. Echocardiography: Evidenced common atrioventricular valve with two orifices and the left superior pulmonary vein draining on the brachiocephalic vein. Computed tomography angiography: This complementary imaging exam was performed to confirm the diagnosis. Diagnosis: The patient presented an association between AVSD and PAPVC, a rare combination. The clinical picture of heart failure was preponderant, characterized by need for diuretics and complementary exams findings, and early surgical treatment was indicated. Operation: The operation was performed through a median sternotomy with 123 minutes of cardiopulmonary bypass and 89 minutes of cross-clamping time. The patient had no postoperative complications, remaining 10 days hospitalized.

https://doi.org/10.21470/1678-9741-2019-0203 291 downloads

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