Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2175
Título: The Hybrid Approach for Palliation of Hypoplastic Left Heart Syndrome: Intermediate Results of a Single-Center Experience
Outros títulos: Abordagem Híbrida de Paliação de Síndrome de Coração Esquerdo Hipoplásico - Resultados Intermédios: Experiência de um Centro
Autor: Laranjo, S
Costa, G
Freitas, I
Martins, JD
Bakero, L
Trigo, C
Fragata, I
Fragata, J
Pinto, MF
Palavras-chave: HSM CAR PED
HSM CCT
HSM ANS
Cardiac Surgical Procedures/adverse effects
Cardiac Surgical Procedures/methods
Hypoplastic Left Heart Syndrome/mortality
Hypoplastic Left Heart Syndrome/surgery
Palliative Care
Prospective Studies
Survival Rate
Time Factors
Treatment Outcome
Data: 2015
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2015; 34 (5): 347-355
Resumo: INTRODUCTION: Hypoplastic left heart syndrome (HLHS) is a major cause of cardiac death during the first week of life. The hybrid approach is a reliable, reproducible treatment option for patients with HLHS. Herein we report our results using this approach, focusing on its efficacy, safety and late outcome. METHODS: We reviewed prospectively collected data on patients treated for HLHS using a hybrid approach between July 2007 and September 2014. RESULTS: Nine patients had a stage 1 hybrid procedure, with seven undergoing a comprehensive stage 2 procedure. One patient completed the Fontan procedure. Five patients underwent balloon atrial septostomy after the hybrid procedure; in three patients, a stent was placed across the atrial septum. There were three deaths: two early after the hybrid procedure and one early after stage two palliation. Overall survival was 66%. CONCLUSIONS: In our single-center series, the hybrid approach for HLHS yields intermediate results comparable to those of the Norwood strategy. The existence of dedicated teams for the diagnosis and management of these patients, preferably in high-volume centers, is of major importance in this condition.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2175
Aparece nas colecções:ANS - Artigos
CCT - Artigos
CAR PED - Artigos

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RPC 2015 hybrid.pdf3,44 MBAdobe PDFVer/Abrir


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