24 results on '"Vellibre D"'
Search Results
2. Aurícula izquierda dividida: resultados quirúrgicos y seguimiento en el cor triatriatum
- Author
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Raquel Collado, Vellibre D, Cazzaniga M, Villagrá F, Ricardo Gomez, Julio Pérez de León, Patricia Balselga, and María José Maitre Azcárate
- Subjects
Gynecology ,medicine.medical_specialty ,business.industry ,medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
Introduccion y objetivo La auricula izquierda dividida debido al cor triatriatum es un defecto cardiaco congenito infrecuente que requiere cirugia para su correccion. Se describe nuestra experiencia clinica y quirurgica ademas de los diferentes aspectos diagnosticos, operatorios y evolutivos a medio y largo plazo. Pacientes y metodo Se analizan retrospectivamente los informes quirurgicos y los datos clinicos pre y postoperatorios de 15 ninos que fueron intervenidos (reseccion de la membrana obstructiva) entre 1981 y 1999 a una edad media de 13 meses, ninguno de los cuales tenia asociados defectos cardiovasculares complejos. Se efectuo ecocardiograma de rutina antes y despues de la cirugia; el 40% de los enfermos fue intervenido sin cateterismo cardiaco previo. El tiempo de seguimiento oscila entre 8 meses y 19,3 anos. Resultados El diagnostico se confirmo en la sala operatoria. Un enfermo de 9 meses de edad adecuadamente corregido fallecio a los 60 dias de la cirugia por sepsis (7%). Catorce ninos sobreviven, no han requerido reoperacion y estan asintomaticos, con clase funcional I de la NYHA en el seguimiento; la supervivencia global es del 93% (IC del 70%: 87-99). Conclusiones La cirugia correctora con escision de la membrana obstruida restablece la normalidad anatomica y hemodinamica en el cor triatriatum no asociado a cardiopatia compleja, consiguiendo un estado clinico normal.
- Published
- 2000
3. El cierre arterial pulmonar puede ser un factor de riesgo tromboembólico en pacientes con anastomosis cavopulmonar (Glenn) bidireccional
- Author
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Noemí Arribas, Villagrá F, Mónica Rodríguez, Vellibre D, Amalia Tamarit, and Julio Pérez de León
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Anastomosis ,medicine.disease ,Thrombosis ,Pulmonary embolism ,Surgery ,Fontan procedure ,Glenn procedure ,medicine.artery ,Pulmonary artery ,medicine ,Heart bypass ,Thrombus ,Cardiology and Cardiovascular Medicine ,business - Abstract
Postoperative thrombosis after the Fontan procedure has been well noted in the literature, and its risk factors are also well known. In contrast, thrombosis after the bilateral cavo-pulmonary shunt (Glenn) has been rarely reported and almost always occurs around the anastomosis itself or near it, mainly causing pulmonary embolism. We present 2 cases with cerebral embolism 2-7 months after pulmonary artery closure and Glenn procedure, due to dislodgement of a thrombus in the proximal pulmonary artery stump. Based on these two cases and a few others reported in the literature, we want to call the attention to this new cause of thromboembolism after Glenn and stimulate discussion about its incidence, risk factors and preventive measures.
- Published
- 2000
4. Complete atrioventricular canal and tetralogy of Fallot: surgical management
- Author
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Villagrá F, P Núñez, Vellibre D, Jesús B. Alonso, S López Checa, Pedro A. Sanchez, J Pérez de León, Gómez R, and Brito Jm
- Subjects
Male ,Pulmonary and Respiratory Medicine ,congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,medicine.medical_treatment ,Ventricular Outflow Obstruction ,Ventriculotomy ,Valve replacement ,Internal medicine ,Ductus arteriosus ,medicine ,Humans ,cardiovascular diseases ,Persistent left superior vena cava ,Child ,Tetralogy of Fallot ,business.industry ,Heart Septal Defects ,Infant ,General Medicine ,Left pulmonary artery ,medicine.disease ,Blood Vessel Prosthesis ,Surgery ,medicine.anatomical_structure ,Child, Preschool ,cardiovascular system ,Cardiology ,Atrioventricular canal ,Female ,Down Syndrome ,Cardiology and Cardiovascular Medicine ,business ,Endocardial Cushion Defects - Abstract
Between 1982 and 1989, nine patients with complete atrioventricular (AV) canal and tetralogy of Fallot underwent successful repair of both anomalies. Seven patients had Down's syndrome. One or more previous palliative shunts had been used in six patients. Associated cardiovascular lesions included persistent left superior vena cava (two patients), patent ductus arteriosus with marked stenosis of the left pulmonary artery (one patient). The diagnosis was confirmed by cardiac catheterization and cineangiography. Closure of the ventricular septal defect was performed through a combined right atrial and ventricular approach in each patient. The right ventricular outflow obstruction was relieved with the use of a transannular patch (4), right ventricular infundibular patch (4) or a valved external conduit (1). There were no hospital deaths. One patient died as a result of meningitis 2 years after repair. Progressive left AV valve incompetence developed in one patient requiring valve replacement. A single atrial approach may not provide the best exposure of the subaortic end of the defect. In this regard, we recommend an additional right ventriculotomy in order to ensure safe closure of the septal defect. Although an adequately shaped isolated patch could be sufficient to close the anterior VSD, we favour a separate patch to minimize the possibility of producing subaortic obstruction. A further method to avoid this subaortic stenosis consists of dividing the common anterior leaflet to the right towards the lateral extent of the infundibular septum.
- Published
- 1990
5. Complete atrioventricular canal and tetralogy of Fallot: surgical management
- Author
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ALONSO, J, primary, NUNEZ, P, additional, DELEON, J, additional, SANCHEZ, P, additional, VILLAGRA, F, additional, GOMEZ, R, additional, CHECA, S, additional, VELLIBRE, D, additional, and BRITO, J, additional
- Published
- 1990
- Full Text
- View/download PDF
6. Tetralogy of Fallot associated with total anomalous pulmonary venous drainage
- Author
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Pérez de León J, Brito Jm, Quero Jiménez M, de Marco E, Vellibre D, Cazzaniga M, Gómez R, and Gutiérrez J
- Subjects
Male ,Postoperative Care ,medicine.medical_specialty ,business.industry ,Surgical correction ,Vascular surgery ,medicine.disease ,Total anomalous pulmonary venous return ,TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE ,Cardiac surgery ,Pulmonary Veins ,Internal medicine ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,medicine ,Cardiology ,Tetralogy of Fallot ,Humans ,Abnormalities, Multiple ,Cardiology and Cardiovascular Medicine ,business - Abstract
We present a case of tetralogy of Fallot associated with total anomalous pulmonary venous return, with successful surgical correction. This association presents problems as regards surgical indications and technique.
- Published
- 1983
7. Complication of surgery for scoliosis in children with surgically corrected congenital cardiac malformations.
- Author
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Pérez-Caballero C, Sobrino E, Vázquez JL, Burgos J, Alvarez E, Martos I, Fernández L, and Vellibre D
- Subjects
- Adolescent, Cardiovascular Abnormalities surgery, Child, Preschool, Cyanosis complications, Cyanosis epidemiology, Female, Humans, Infant, Male, Postoperative Complications epidemiology, Retrospective Studies, Scoliosis epidemiology, Spain epidemiology, Spinal Fusion adverse effects, Treatment Outcome, Cardiovascular Abnormalities complications, Orthopedic Procedures adverse effects, Scoliosis complications, Scoliosis surgery
- Abstract
Introduction: There is a high incidence of scoliosis in patients who have undergone cardiothoracic surgery for correction of congenital cardiac disease, this risk being 10 times higher than in the general population., Materials and Methods: So as to analyse the surgical and postoperative complications, we designed a retrospective study to include every child who underwent spinal orthopaedic surgery, and who had previously undergone cardiothoracic surgery because of a congenital cardiac malformation. We excluded those patients who had syndromes associated with the development of scoliosis., Results: We identified 18 patients with surgically treated congenital cardiac disease who had undergone surgery for scoliosis over a period of 7 years. This group came from a total number of 87 patients undergoing spinal fusion over the same period. Of those with congenitally malformed hearts, 61% had acyanotic lesions, with ventricular septal defect being the most frequent single lesion, present in 40%. All the patients needed blood transfusions during the surgery, with aprotinin used in 73% to reduce the bleeding, and inotropes needed for 4 children. During the immediate postoperative period, 1 patient died in the first 24 hours, while 7 (39%) had different complications, pneumonia in 4, pleural effusions in 2, and rhabdomyolysis in the other, as opposed to a rate of complications of 27% in patients without heart disease., Conclusion: The surgical and postoperative complications in these patients depend on the specific cardiac lesion. A multidisciplinary team with experience in the treatment of congenitally malformed hearts is essential for appropriate management of these patients.
- Published
- 2009
- Full Text
- View/download PDF
8. [Use of aprotinin during pediatric heart surgery].
- Author
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Martín Burcio S, Valiño González J, Domínguez F, Díaz Balda J, Martínez M, and Vellibre D
- Subjects
- Anticoagulants therapeutic use, Aprotinin administration & dosage, Aprotinin adverse effects, Blood Transfusion statistics & numerical data, Child, Child, Preschool, Drug Evaluation, Drug Utilization, Erythrocyte Transfusion statistics & numerical data, Female, Hemorrhagic Disorders epidemiology, Hemostatics administration & dosage, Hemostatics adverse effects, Heparin therapeutic use, Humans, Male, Plasma, Random Allocation, Reoperation, Retrospective Studies, Risk, Aprotinin therapeutic use, Blood Loss, Surgical prevention & control, Cardiopulmonary Bypass, Heart Defects, Congenital surgery, Hemostatics therapeutic use
- Abstract
Objective: To study the efficacy of high doses of aprotinin during cardiopulmonary bypass (CPBP) in pediatric patients with a tendency to intra- and postoperative bleeding: children undergoing repeated operations and those with cyanotic cardiopathy., Patients and Methods: A simple retrospective, random sample of 71 pediatric patients with cyanogenic cardiopathy was studied. Group I (n = 36) received a test dose of 50,000 KIU in 2 min. The initial dose was 1,700,000 KIU (170 ml/m2 of body surface) i.v., at an infusion rate of 150 ml/h. CPBP circuit prime dose was 1,700,000 (170 ml/m2 of body surface), with replacement at a volume equivalent to the circuit prime. The maintenance dose was 400,000 KIU (40 ml/m2/h) i.v. Infusion was suspended 2 hours after a patient's arrival at the intensive care unit (ICU). We recorded red blood cell loss and blood product requirements in the first 24 hours in the ICU, duration of surgery, intra- and postoperative diuresis, and complications., Results: Group I required 13.96 +/- 12.09 ml/kg/h of packed red cells whereas Group II required 22 +/- 16.22 ml/kg/h (p < 0.05). The volume lost was less in Group I than in Group II (0.77 +/- 0.48 ml/kg/h vs. 2.12 +/- 3.9 ml/kg/h; p < 0.05). The means for intra- and postoperative diuresis in the first 24 hours were not significantly different., Conclusions: Aprotinin significantly reduces red blood cell loss and homologous blood transfusion requirements. No complications attributable to aprotinin were observed.
- Published
- 2001
9. [Divided left atrium: operative results and follow-up in the cor triatriatum].
- Author
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Balselga P, Cazzaniga M, Gómez R, Collado R, Pérez De León J, Villagrá F, Vellibre D, and Azcárate MM
- Subjects
- Female, Follow-Up Studies, Heart Septal Defects, Atrial physiopathology, Humans, Infant, Male, Treatment Outcome, Heart Septal Defects, Atrial surgery
- Abstract
Introduction and Objectives: A divided left atrium because of cor triatriatum is a relatively rare cardiac anomaly requiring corrective surgery. We describe here our clinical and surgical experience with this congenital heart defect as well as the different medium and long term diagnostic, surgical and evolution aspects., Patients and Methods: From 1981 to 1999, 15 children with cor triatriatum without complex associated cardiovascular defects underwent surgery at a mean age of 13 months (excision of the obstructive membrane). The surgical reports were reviewed and the clinical and echocardiographic data were analyzed before and after the intervention; six of these patients (40%) were referred to operating room only with the 2-D echo Doppler technique and color flow mapping information. The follow-up period ranged from 8 months to 19.3 years., Results: Diagnosis was confirmed during the surgical procedure. One 9 month old patient died 60 days after a successful corrective surgery because of sepsis (7%). No late deaths or reoperations were found in the follow-up period. All 14 patients who survived the operation have a functional class I (NYHA), and they are asymptomatic in the follow-up. The overall survival rate was 93% (70% CI: 87-90)., Conclusions: Corrective surgery with excision of the obstructive membrane dividing the left atrium restores normal anatomic, hemodynamic and clinical status in children with cor triatriatum without complex associated defects.
- Published
- 2000
- Full Text
- View/download PDF
10. [The pulmonary artery closure may be a thromboembolic risk factor in patients with bidirectional cavo-pulmonary (Glenn) shunt].
- Author
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Villagrá F, Pérez De León J, Rodríguez M, Tamarit A, Vellibre D, and Arribas N
- Subjects
- Female, Humans, Infant, Risk Factors, Heart Bypass, Right adverse effects, Heart Defects, Congenital surgery, Thromboembolism etiology
- Abstract
Postoperative thrombosis after the Fontan procedure has been well noted in the literature, and its risk factors are also well known. In contrast, thrombosis after the bilateral cavo-pulmonary shunt (Glenn) has been rarely reported and almost always occurs around the anastomosis itself or near it, mainly causing pulmonary embolism. We present 2 cases with cerebral embolism 2-7 months after pulmonary artery closure and Glenn procedure, due to dislodgement of a thrombus in the proximal pulmonary artery stump. Based on these two cases and a few others reported in the literature, we want to call the attention to this new cause of thromboembolism after Glenn and stimulate discussion about its incidence, risk factors and preventive measures.
- Published
- 2000
- Full Text
- View/download PDF
11. [Extracorporeal membrane oxygenation in myocardial failure after pediatric heart surgery].
- Author
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Ramos A, Domínguez F, Díez-Balda JI, Martínez A, Gómez R, Bermúdez-Cañete R, and Vellibre D
- Subjects
- Bioprosthesis, Cardiac Output, Low etiology, Cardiac Output, Low therapy, Cardiotonic Agents therapeutic use, Child, Preschool, Combined Modality Therapy, Dobutamine therapeutic use, Dopamine therapeutic use, Down Syndrome complications, Electric Countershock, Epinephrine therapeutic use, Female, Heart Failure etiology, Hemodynamics, Humans, Infant, Male, Reoperation, Surgical Wound Dehiscence complications, Ventricular Fibrillation etiology, Ventricular Fibrillation therapy, Extracorporeal Membrane Oxygenation instrumentation, Heart Failure therapy, Heart Septal Defects surgery, Postoperative Complications therapy, Tetralogy of Fallot surgery
- Abstract
In spite of progressive improvement not only in myocardial protection but also in anesthetic and surgical techniques, the repair of complex congenital heart defects can still lead to cardiopulmonary compromise refractory to conventional treatment. We describe two patients in whom successful surgical repair of congenital heart defects was followed by severe heart failure refractory to medical treatment. Both patients were managed by extracorporeal membrane oxygenation (ECMO). We discuss the indications, contraindications and use of ECMO in the postoperative intensive care unit.
- Published
- 1998
12. [The angiographic diagnosis of the connection of the persistent left vena cava superior to the left atrium by the absence of the roof of the coronary sinus in a child with a Holmes' heart].
- Author
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Herraiz JI, Velasco Bayón JM, Nazal R, Acerete F, Bermúdez-Cañete R, Brito JM, Vellibre D, and Quero Jiménez M
- Subjects
- Cardiac Catheterization, Female, Heart Atria abnormalities, Heart Atria diagnostic imaging, Humans, Infant, Radiography, Syndrome, Vena Cava, Superior diagnostic imaging, Coronary Vessel Anomalies diagnostic imaging, Heart Defects, Congenital diagnostic imaging, Vena Cava, Superior abnormalities
- Abstract
We describe a patient with angiographic findings of a left superior persistent vena cava draining in the left atrium with absence of the coronary sinus' roof and coexisting with Holmes' heart. The diagnosis can be made by selective angiography in the left atrium, pulmonary vein or at the left superior vena cava. We want to emphasize the importance of knowing this sort of anomaly before surgical treatment.
- Published
- 1991
13. [Complete atrioventricular canal and tetralogy of Fallot: surgical considerations].
- Author
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Alonso J, Núñez P, Pérez de León J, Sánchez PA, Villagrá F, Gómez R, López Checa S, Vellibre D, and Brito JM
- Subjects
- Child, Child, Preschool, Echocardiography, Endocardial Cushion Defects diagnostic imaging, Female, Humans, Infant, Male, Tetralogy of Fallot diagnostic imaging, Endocardial Cushion Defects surgery, Tetralogy of Fallot surgery
- Abstract
Nine patients with complete atrioventricular canal and tetralogy of Fallot underwent intracardiac repair of both anomalies between 1982 and 1989. The ages of the patients ranged from 6 months to 7 years. Six of the 9 had one or more previous systemic-pulmonary artery shunts. Two-dimensional echocardiography showed diagnostic characteristics of both malformations in all patients. The diagnosis was confirmed by cardiac catheterization and cineangiography. The ventricular septal defect was repaired by a combined right atrial and ventricular approach in every patient. Outflow tract reconstruction was performed with the use of a transannular patch (4), infundibular patch (4), and a valved conduit (1). There were no hospital deaths. Meningitis was responsible for the death of a patient 2 years after repair. We recommend early palliation, complete repair in those older than 4 or 5 years, surgical technique depending on the anatomical findings, combined atrial and ventricular approach, 2 separate patches to close the ventricular septal defect in required cases, adjusted correction of the right ventricular outflow tract, and careful postoperative care.
- Published
- 1990
14. [Fever of undetermined origin in a case of total correction of persistent truncus arteriosus with agenesis of the left pulmonary artery (author's transl)].
- Author
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Gómez R, Gutiérrez J, Pérez J, Vellibre D, Casanova M, Quero M, Bouza E, Fernández R, and Brito JM
- Subjects
- Aortic Valve surgery, Female, Heart Valve Prosthesis, Humans, Infant, Mitral Valve Insufficiency complications, Mitral Valve Insufficiency surgery, Truncus Arteriosus, Persistent surgery, Tuberculosis, Miliary complications, Fever of Unknown Origin complications, Pulmonary Artery abnormalities, Truncus Arteriosus, Persistent complications
- Abstract
A 19 month-old girl diagnosed of truncus arteriosus with absence of the left pulmonary artery and severe truncal valve insufficiency underwent total correction. A non previously diagnosed severe mitral insufficiency required a new operation to implant a Bjork-Shiley supraanular mitral prosthesis. The postoperative period was hemodynamically normal, except for the presence of persistent fever of unexplained origin. The clinical picture was thought to be an infectious endocarditis due to the late appearance of an aortic prosthetic leak. Because of failure to medical treatment a reoperation was performed to replace aortic prosthesis. Patient died eight hours postoperatively. Autopsy revealed a correct surgical repair, absence of endocarditis and severe miliary disseminated tuberculosis. Authors consider of interest to present this case-report due to the rarity of: a) correction of truncus with a single pulmonary artery under two years of age; b) associated mitral insufficiency; c) the presence of tuberculosis, difficult differential diagnosis with infectious endocarditis in a patient with valvular prosthesis.
- Published
- 1981
15. Tetralogy of Fallot associated with total anomalous pulmonary venous drainage.
- Author
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Gutiérrez J, Pérez de León J, de Marco E, Gómez R, Cazzaniga M, Vellibre D, Quero Jiménez M, and Brito JM
- Subjects
- Abnormalities, Multiple surgery, Child, Preschool, Humans, Male, Postoperative Care, Pulmonary Veins surgery, Tetralogy of Fallot surgery, Abnormalities, Multiple diagnosis, Pulmonary Veins abnormalities, Tetralogy of Fallot complications
- Abstract
We present a case of tetralogy of Fallot associated with total anomalous pulmonary venous return, with successful surgical correction. This association presents problems as regards surgical indications and technique.
- Published
- 1983
- Full Text
- View/download PDF
16. [The single ventricle in the first years of life. Our surgical viewpoint].
- Author
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Brito JM, Saúl J, Villagrá F, Pérez de León J, Gómez R, López Checa S, Sánchez PA, Quero M, and Vellibre D
- Subjects
- Abnormalities, Multiple surgery, Dextrocardia, Female, Heart Valves abnormalities, Heart Valves surgery, Humans, Infant, Infant, Newborn, Male, Mortality, Spain, Vena Cava, Superior surgery, Aorta surgery, Heart Ventricles abnormalities, Palliative Care, Pulmonary Artery surgery, Subclavian Artery surgery
- Published
- 1985
17. [Truncus with volume reduction and parietal hypertrophy of both ventricular chambers].
- Author
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Villagrá F, Cazaniga M, Espino R, Pérez de León J, Vellibre D, Quero Jiménez M, and Brito JM
- Subjects
- Cardiac Volume, Cardiomegaly diagnosis, Cardiomegaly pathology, Heart Ventricles pathology, Humans, Infant, Male, Truncus Arteriosus, Persistent pathology, Truncus Arteriosus, Persistent surgery, Cardiomegaly etiology, Truncus Arteriosus, Persistent complications
- Published
- 1981
18. [Surgical experience in tetralogy of Fallot. 1- or 2-stage correction and our current criteria].
- Author
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Brito JM, Villagra F, León JP, Vizcarra V, Gómez R, Checa SL, Sánchez PA, Herranz B, Vellibre D, and Casillas A
- Subjects
- Adolescent, Adult, Child, Child, Preschool, Extracorporeal Circulation, Humans, Infant, Infant, Newborn, Palliative Care, Reoperation, Risk, Tetralogy of Fallot surgery
- Published
- 1986
19. [Total hemodilution in children in corrective surgery of congenital heart disease (I). Prospective study in children with a body weight over 12 kg].
- Author
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Villagrá F, de León JP, Vellibre D, Collado R, Alonso A, Gómez R, Sánchez PA, Egurbide N, and Brito JM
- Subjects
- Child, Heart Defects, Congenital blood, Humans, Prospective Studies, Body Weight, Heart Defects, Congenital surgery, Hemodilution
- Published
- 1987
20. [Total hemodilution in children in corrective surgery of congenital heart disease (II). Prospective study in children with a body weight under 12 kg].
- Author
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Villagrá F, León JP, Vellibre D, Collado R, Español R, Checa SL, Díaz P, Gómez R, and Brito JM
- Subjects
- Child, Heart Defects, Congenital blood, Humans, Prospective Studies, Body Weight, Heart Defects, Congenital surgery, Hemodilution
- Published
- 1987
21. [Atrioseptostomy with blade catheter. Initial experience in 12 children].
- Author
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Herraiz JI, Bermúdez R, Mullins CE, Merino G, Vellibre D, Villagrá F, Flores JC, and Quero M
- Subjects
- Cardiac Catheterization methods, Child, Preschool, Humans, Infant, Infant, Newborn, Transposition of Great Vessels complications, Cardiac Catheterization instrumentation, Heart Septal Defects surgery
- Published
- 1985
22. Phrenic nerve paralysis following pediatric cardiac surgery. Role of diaphragmatic plication.
- Author
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Affatato A, Villagra F, De Leon JP, Gomez R, Checa SL, Vellibre D, Sanchez P, Diez Balda JI, and Brito JM
- Subjects
- Child, Child, Preschool, Humans, Infant, Infant, Newborn, Respiratory Paralysis surgery, Cardiac Surgical Procedures adverse effects, Diaphragm surgery, Phrenic Nerve, Respiratory Paralysis etiology
- Abstract
Eighteen children sustained unilateral phrenic nerve paralysis (PNP) after cardiac surgical procedures. Ten (Group I), under 7 months (mean: 2.9 +/- 2.2), required long-term ventilatory assistance (mean: 23.9 +/- 13.0 days); they failed to be weaned from the ventilator. All underwent diaphragmatic plication (DP). DP was performed late in 7 cases (Group Ia) with a mean time of 30.8 days between surgery and DP, and early in 3 others (Group Ib) with a mean time of 10.2 days. Eight children (Group II), older than 1 year, tolerated PNP better and could be extubated early without diaphragmatic plication. In Group Ia severe lung infections were recorded in 5 before or/and after DP, and two died at 3 and 30 days after plication. Five children from Group Ia and all 3 from Group Ib were late survivors. They could be weaned from ventilatory support in a mean time of 3 days after DP, although those with severe lung infection (Group Ia) took the longest time. All from Group II were late survivors. We conclude: PNP is well tolerated without plication in children older than 1 year. However early DP offers excellent and immediate results in infants with PNP. Early DP in these children avoids or reduces severe lung infections and death.
- Published
- 1988
23. [Neonatal laceration of liver and spleen (author's transl)].
- Author
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Díez Pardo JA, Tovar JA, Herrero E, Lassaletta L, and Vellibre D
- Subjects
- Birth Injuries, Female, Humans, Infant, Newborn, Infant, Newborn, Diseases etiology, Labor, Induced adverse effects, Liver surgery, Male, Oxytocin administration & dosage, Pregnancy, Rupture etiology, Rupture surgery, Splenic Rupture surgery, Infant, Newborn, Diseases surgery, Liver injuries, Splenic Rupture etiology
- Abstract
A very unusual observation of survival after surgical treatment of neonatal maceration of liver and spleen is reported. The patient had a normal birthweight and the only possible etiologic factor was a oxitocin-induced rapid delivery. The literature on this topic is reviewed.
- Published
- 1979
24. [Atrioventricular septal defect with associated tetralogy of Fallot. Clinico-morphological aspects and surgical considerations].
- Author
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da Silva AE, Maître MJ, Sánchez PA, Quero M, Brito JM, and Vellibre D
- Subjects
- Child, Preschool, Echocardiography, Female, Heart Septal Defects complications, Heart Septal Defects diagnosis, Humans, Infant, Male, Tetralogy of Fallot complications, Tetralogy of Fallot diagnosis, Heart Septal Defects surgery, Tetralogy of Fallot surgery
- Abstract
In this work the clinical features, diagnostic methods, surgical procedures and postoperative follow-up are reviewed in 19 cases of atrioventricular septal defect with associated tetralogy of Fallot. The clinical situation was always related to the degree of pulmonary ischemia, that pointed out the urgency and need for a palliative surgical procedure before corrective surgery. There was no data in the ECG for the differential diagnosis of isolated forms of atrioventricular septal defect. In 50% of the cases the cardio-thoracic index was increased by right atrial enlargement. The diagnosis of the malformation was made in every case by means of 2D echocardiography. In 16 cases palliative surgery was done (aortic-pulmonary shunts), with one death (6.2%) due to facts unrelated to the technique. Of the 6 cases with corrective surgery (5 cases with previous shunts), one needed a mitral valve replacement (St Jude prosthesis). There was no mortality in this group and the functional status in the long-term follow-up was: 3 cases were in the functional class I and 3 cases in class II. The overall mortality for all surgical procedures carried out was 4.3%. In conclusion, we consider the use of the corrective surgery adequate to the clinical stability of the patients with atrioventricular septal defect with associated Fallot's tetralogy.
- Published
- 1989
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