Cirugía de Fontan: experiencia a cinco años en un centro de IV nivel.
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| Title: | Cirugía de Fontan: experiencia a cinco años en un centro de IV nivel. |
|---|---|
| Alternate Title: | Fontan surgery: five years experience in an IV level center. |
| Authors: | Ayala-Viloria, Alfonso1 alfonsoayala81653@gmail.com, Ponce, Luis2, Brochado, Dorian2, Velez, Juan3, Mosquera, Walter2 |
| Source: | Salud Uninorte. Ene-Apr2019, Vol. 35 Issue 1, p84-92. 9p. |
| Subjects: | CONGENITAL heart disease, OPERATIVE surgery, PATIENT selection, COMORBIDITY, CERVICAL cerclage |
| Abstract (English): | Objective: To describe the experience of the congenital heart disease unit service of the FVL in the use of Fontan surgery, 2011-2016. Materials and methods: Observational descriptive study of historical cut (series of cases). We analyzed 22 clinical histories of patients with a history of complex congenital heart disease intervened by Fontan surgery at the Valle del Lili Foundation between January 2011 and December 2016. Results: The single physiological ventricle was the main cause of the intervention, occurring in 17 patients (77.3%). Among the palliative surgeries performed prior to Fontan surgery, pulmonary systemic fistula (PSF) (73%) and pulmonary cerclage (32%) were found, these mostly being procedures that could be combined to optimize the condition clinic, operating on average 3.7 years after the previous palliative stage. Of the surgical techniques, the fenestrated extracardiac fundus was performed in a greater proportion (68%), and the fenestrated intracardiac fundus (13.6%). 86% of patients presented comorbidities Conclusion: With a better selection of patients with univentricular physiology, complications and mortality associated with the surgical procedure are minimized. Follow-up studies of the patients of the Valle de Lili Foundation are required to determine characteristics related to 10, 20 and 30 years and to compare them with those obtained in the world literature. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Describir la experiencia del servicio de unidad de cardiopatía congénita de la FVL en uso de la cirugía de Fontan, 2011-2016. Materiales y métodos: Estudio descriptivo observacional de corte histórico (serie de casos). Se analizaron 22 historias clínicas de pacientes con antecedentes de cardiopatías congénitas complejas intervendios por cirugia de Fontan en la Fundación Valle del Lili, entre enero del 2011 y diciembre del 2016. Resultados: El ventrículo único fisiológico fue la principal causa de la intervención, presentándose en 17 pacientes (77.3%). Dentro de las cirugías paliativas realizadas previas a la cirugía de Fontan se encontró la fístula sistémico-pulmonar (FSP) (73%) y el cerclaje pulmonar (32%), siendo estos en su mayoría procedimientos que se pudieron combinar entre ellos para optimizar la condición clínica, ya que se operaron, en promedio, 3.7 años después del estadio paliativo previo. De las técnicas quirúrgicas, el Fontan extracardíaco fenestrado se realizó en mayor proporción (68%), y seguido del intracardíaco fenestrado (13.6%). El 86% de los pacientes presentaron comorbilidades. Conclusión: Con una mejor selección de pacientes con fisiología univentricular se logran minimizar complicaciones y la mortalidad asociada al procedimiento quirúrgiico. Se requieren de estudios de seguimiento de los pacientes de la Fundación Valle de Lili para determinar características afines a 10, 20 y 30 años, y equipararlos con los obtenidos en la literatura mundial. [ABSTRACT FROM AUTHOR] |
| Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 146563285 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Cirugía de Fontan: experiencia a cinco años en un centro de IV nivel. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Fontan surgery: five years experience in an IV level center. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ayala-Viloria%2C+Alfonso%22">Ayala-Viloria, Alfonso</searchLink><relatesTo>1</relatesTo><i> alfonsoayala81653@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Ponce%2C+Luis%22">Ponce, Luis</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Brochado%2C+Dorian%22">Brochado, Dorian</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Velez%2C+Juan%22">Velez, Juan</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Mosquera%2C+Walter%22">Mosquera, Walter</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Salud+Uninorte%22">Salud Uninorte</searchLink>. Ene-Apr2019, Vol. 35 Issue 1, p84-92. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CONGENITAL+heart+disease%22">CONGENITAL heart disease</searchLink><br /><searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+selection%22">PATIENT selection</searchLink><br /><searchLink fieldCode="DE" term="%22COMORBIDITY%22">COMORBIDITY</searchLink><br /><searchLink fieldCode="DE" term="%22CERVICAL+cerclage%22">CERVICAL cerclage</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective: To describe the experience of the congenital heart disease unit service of the FVL in the use of Fontan surgery, 2011-2016. Materials and methods: Observational descriptive study of historical cut (series of cases). We analyzed 22 clinical histories of patients with a history of complex congenital heart disease intervened by Fontan surgery at the Valle del Lili Foundation between January 2011 and December 2016. Results: The single physiological ventricle was the main cause of the intervention, occurring in 17 patients (77.3%). Among the palliative surgeries performed prior to Fontan surgery, pulmonary systemic fistula (PSF) (73%) and pulmonary cerclage (32%) were found, these mostly being procedures that could be combined to optimize the condition clinic, operating on average 3.7 years after the previous palliative stage. Of the surgical techniques, the fenestrated extracardiac fundus was performed in a greater proportion (68%), and the fenestrated intracardiac fundus (13.6%). 86% of patients presented comorbidities Conclusion: With a better selection of patients with univentricular physiology, complications and mortality associated with the surgical procedure are minimized. Follow-up studies of the patients of the Valle de Lili Foundation are required to determine characteristics related to 10, 20 and 30 years and to compare them with those obtained in the world literature. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivo: Describir la experiencia del servicio de unidad de cardiopatía congénita de la FVL en uso de la cirugía de Fontan, 2011-2016. Materiales y métodos: Estudio descriptivo observacional de corte histórico (serie de casos). Se analizaron 22 historias clínicas de pacientes con antecedentes de cardiopatías congénitas complejas intervendios por cirugia de Fontan en la Fundación Valle del Lili, entre enero del 2011 y diciembre del 2016. Resultados: El ventrículo único fisiológico fue la principal causa de la intervención, presentándose en 17 pacientes (77.3%). Dentro de las cirugías paliativas realizadas previas a la cirugía de Fontan se encontró la fístula sistémico-pulmonar (FSP) (73%) y el cerclaje pulmonar (32%), siendo estos en su mayoría procedimientos que se pudieron combinar entre ellos para optimizar la condición clínica, ya que se operaron, en promedio, 3.7 años después del estadio paliativo previo. De las técnicas quirúrgicas, el Fontan extracardíaco fenestrado se realizó en mayor proporción (68%), y seguido del intracardíaco fenestrado (13.6%). El 86% de los pacientes presentaron comorbilidades. Conclusión: Con una mejor selección de pacientes con fisiología univentricular se logran minimizar complicaciones y la mortalidad asociada al procedimiento quirúrgiico. Se requieren de estudios de seguimiento de los pacientes de la Fundación Valle de Lili para determinar características afines a 10, 20 y 30 años, y equipararlos con los obtenidos en la literatura mundial. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.14482/sun.35.1.617 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 9 StartPage: 84 Subjects: – SubjectFull: CONGENITAL heart disease Type: general – SubjectFull: OPERATIVE surgery Type: general – SubjectFull: PATIENT selection Type: general – SubjectFull: COMORBIDITY Type: general – SubjectFull: CERVICAL cerclage Type: general Titles: – TitleFull: Cirugía de Fontan: experiencia a cinco años en un centro de IV nivel. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ayala-Viloria, Alfonso – PersonEntity: Name: NameFull: Ponce, Luis – PersonEntity: Name: NameFull: Brochado, Dorian – PersonEntity: Name: NameFull: Velez, Juan – PersonEntity: Name: NameFull: Mosquera, Walter IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Ene-Apr2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 01205552 Numbering: – Type: volume Value: 35 – Type: issue Value: 1 Titles: – TitleFull: Salud Uninorte Type: main |
| ResultId | 1 |
