SciELO - Scientific Electronic Library Online

 
vol.87 número4Prevalencia y extensión de la calcificación arterial coronaria en población mexicana asintomática cardiovascular: estudio Genética de la Enfermedad AterosclerosaEfectos de la estimulación endocárdica prolongada sobre la sincronía mecánica ventricular izquierda. Ensayo piloto aplicando análisis de fase por tomografía computada por emisión de fotón único gatillada. Estimulación prolongada y disincronía mecánica índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Archivos de cardiología de México

versión On-line ISSN 1665-1731versión impresa ISSN 1405-9940

Resumen

DILIZ-NAVA, Héctor et al. Safety of repeat median sternotomy in the palliative treatment of patients with a univentricular heart. Arch. Cardiol. Méx. [online]. 2017, vol.87, n.4, pp.302-306. ISSN 1665-1731.  http://dx.doi.org/10.1016/j.acmx.2016.10.006.

Objective:

To establish the morbidity and mortality of patients with univentricular hearts who underwent a repeat median sternotomy at the Instituto Nacional de Pediatría.

Method:

A retrospective review was performed on the clinical charts of all patients who under-went a repeat median sternotomy from 2001 to 2016.

Results:

Sixty-five patients underwent 76 surgeries by repeat median sternotomy. Fifty-nine patients had a first repeat median sternotomy, with a mean age of 36 months (range: 4–176 months) and a mean weight of 12.2 kg (range: 3.2–21.5 kg). Forty patients had a Glenn procedure, and 19 patients had a Fontan procedure. There were 17 patients with a second repeat median sternotomy, with a mean age of 89 months (range 48–156 months), and a mean weight of 22.7 kg (14.4–41 kg). A Fontan procedure was performed on all these 17 patients. A section of the right coronary artery with electrocardiographic changes and a right atrium tear that caused hypotension occurred during first repeat sternotomy. An aortic tear occurred during a second repeat sternotomy with massive bleeding and subsequent death. This represents 3.9% of re-entry injuries.

Conclusion:

It is concluded that repeat median sternotomy is a safe procedure.

Palabras llave : Repeat median sternotomy; Safety; Univentricular heart; Glenn; Fontan; Mexico.

        · resumen en Español     · texto en Español     · Español ( pdf )