scholarly journals Long-term results of operated and non-operated patients with congenital heart diseases.

1981 ◽  
Vol 45 (2) ◽  
pp. 238-242 ◽  
Author(s):  
KOUICHI OGAWA ◽  
TAKAYUKI ITO ◽  
MASAAKI BAN ◽  
KEIJI MIZUTANI ◽  
MASAMI NAGASHIMA
2015 ◽  
Vol 7 (4) ◽  
pp. 265
Author(s):  
Myriam Bensemlali ◽  
Meriem Mostefa Kara ◽  
Bettina Bessières ◽  
Fanny Bajolle ◽  
Laurent Fermont ◽  
...  

1995 ◽  
Vol 58 (SupplementIV) ◽  
pp. 1272-1276
Author(s):  
Munetaka Masuda ◽  
Shigeki Morita ◽  
Hiroyuki Kouno ◽  
Hisanori Mayumi ◽  
Ryuii Tominaga ◽  
...  

2012 ◽  
Vol 34 (1) ◽  
pp. 64-69 ◽  
Author(s):  
Taiyu Hayashi ◽  
Ryo Inuzuka ◽  
Yusuke Shiozawa ◽  
Takahiro Shindo ◽  
Nobutaka Shimizu ◽  
...  

2015 ◽  
Vol 96 (4) ◽  
pp. 623-628
Author(s):  
R K Dzhordzhikiya ◽  
I I Vagizov ◽  
G I Kharitonov ◽  
I V Bilalov ◽  
M N Mukharyamov

Aim. To summarize and to distinguish the features of diagnosis and treatment of congenital heart diseases in adults characteristic for the contemporary cardio surgery, by a retrospective study of case reports. Methods. The study analyzed the medical charts of 245 adults with congenital heart diseases treated in the Cardio surgical department №2 of the Interregional Clinical and Diagnostic Center between 2007 and 2015 years. The comparison group included 701 adult patients with congenital heart diseases treated in the Kazan Center of Cardiovascular surgery between 1987 and 1997. Results. The prevalence of congenital heart diseases in adults remains significant. In recent years, the share of operations for these diseases is 5.4% of all cardiac interventions. The most frequent pathology is atrial septal defects. The most frequent complications of septal defects are tricuspidal valve insufficiency (83%) and pulmonary hypertension (77%). Comorbidities include: hypertensive heart disease (36%), cardiac arrhythmias (31%) and ischemic heart disease (33%). The number surrendered surgeries decreased from 28.8% in 1997 to 3.7% in 2014. Postoperative mortality has decreased from 3.3% to 1%. Nowadays a significant amount of operations (56%) is transcatheter occlusion. There is an experience of such surgeries in defects of secondary atrial septum and patent ductus arteriosus. Conclusion. Congenital heart diseases in adults are characterized by severe impairment of haemodynamics, leading to arterial pulmonary hypertension and tricuspid insufficiency, therefore, require early diagnostics and timely treatment before the onset of complications. 68% of such adult patients suffer from comorbidities that increase the risk of surgical interventions. Endovascular surgeries are low invasive, have minimal complication rate and produce good immediate and long-term results.


2019 ◽  
Vol 22 (8) ◽  
pp. 814-817
Author(s):  
Vivian W. Y. Lee ◽  
Bryan P. Yan ◽  
Tiffany M. C. Fong ◽  
Anita K. P. Fung ◽  
Franco W. T. Cheng

Author(s):  
Erkan Çağlıyan ◽  
Samican Ozmen ◽  
Süreyya Sarıdaş Demir ◽  
Aslı Akdöner ◽  
Sabahattin Altunyurt ◽  
...  

INTRODUCTION: Evidence shows that rather than postnatal diagnoses, prenatal diagnoses of congenital heart diseases are correlated with better long-term results and lower mortality rates. In this retrospective study, neonatal stage results of infants with isolated cardiac anomalies, their indications for operation or intervention (if any), and the mortality rates in the first age are attempted to be demonstrated. METHODS: The study was conducted through the retrospective analysis of 47 patients who were diagnosed with fetal cardiac anomaly in the antenatal period, and monitored during natal and postnatal stages at the same center in the Departments of Obstetrics and Gynecology and Pediatric Cardiology of Dokuz Eylul University Hospital. RESULTS: In our center 36 patients gave birth by cesarean section, and 11 patients by spontaneous vaginal delivery. Two low birthweight neonates were born (<2500 g), and these neonates were observed to have hypoplastic left heart and Fallot tetralogy. Thirty-nine of the 47 neonates born with isolated cardiac anomaly were operated after birth. Five patients were advised follow-ups. The remaining 3 neonates died within 48 hours after birth. Survival rate of the operated neonates was 59.5% and the general survival rate was 59.5%. Average 1, and 5-minute APGAR scores of the infants were 7.8 (3-9) and 9.0 (8-10), respectively The neonates were operated an average of 3 days after birth, and the average duration hospitalization of neonates were 12 days. Twenty-nine neonates needed preoperative respiratory support and 37 of them received prostaglandin E1 infusion. Follow-up was advised for 3 neonates within the first month and the first year. Five neonates needed operation during the specified period, and 2 neonates died. DISCUSSION AND CONCLUSION: In conclusion, prenatal diagnosis of congenital heart diseases allows planning the delivery in tertiary care centers, stabilization of the infants in the preoperative period and realization of emergency intervention.


Sign in / Sign up

Export Citation Format

Share Document