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003 | H12O | ||
005 | 20210706062650.0 | ||
008 | 130622s2012 xxx||||| |||| 00| 0 eng d | ||
040 | _cH12O | ||
041 | _aeng | ||
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_aAlbert de la Torre, Leticia _9848 _ePediatría |
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_aBoni, Lorenzo _92095 _eCirugía Cardiaca |
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_aComas Illas, Juan Valentín _91849 _eCirugía Cardíaca Pediátrica |
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_aGranados Ruiz, Miguel Ángel _9851 _ePediatría |
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_9808 _aHerrera Linde, María Dolores _eCardiología |
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_aMendoza Soto, Alberto _9849 _ePediatría |
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_9828 _aPérez Martínez, Ana _eCardiología |
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_aRamos Casado, María Victoria _9787 _ePediatría |
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_92096 _aRuiz Alonso, Enrique _eCirugía Cardiovascular |
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_9850 _aVelasco Bayón, José Manuel _eCardiología |
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_aFontan Operation. Hemodynamic Factors Associated With Postoperative Outcomes. _h[artículo] |
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_bRevista Española de Cardiología (English Edition), _c2012 |
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300 | _a65(4):356-62. | ||
500 | _aFormato Vancouver: Mendoza A, Albert L, Ruiz E, Boni L, Ramos V, Velasco JM, et al. Fontan operation. Hemodynamic factors associated with postoperative outcomes. Rev Esp Cardiol (Engl Ed). 2012 Apr;65(4):356-62. | ||
501 | _aPMID: 22325935 | ||
504 | _aContiene 37 referencias | ||
520 | _aIntroduction and objectives: The Fontan operation is usually the final palliative procedure in patients with univentricular heart. The objectives of this study were, firstly, to describe the clinical and haemodynamic characteristics of a group of patients with univentricular physiology who had previously been palliated with a bidirectional Glenn procedure and, secondly, to identify risk factors that can influence postoperative outcomes after the Fontan operation. Methods: Retrospective study with 32 patients who underwent a Fontan operation between March 2000 and December 2009. Clinical characteristics, catheterization data, type and duration of surgery were revised and analyzed as predictors of postoperative outcome. Results: Hospital mortality was 3%. After a median follow-up of 44 months (interquartile range, 32-79), survival was 90%. Preoperative mean pulmonary arterial pressure (measured during catheterization) was correlated with late mortality. Of the remaining variables analyzed, the Nakata and McGoon indices, and duration of cardiopulmonary bypass showed the highest correlations with postoperative outcomes. Interventional catheterization before the Fontan operation was performed in 42% of patients. Conclusions: Hospital mortality after the Fontan operation was very low. The performance of a haemodynamic study before the Fontan operation made it possible to select high-risk patients for surgery as well as permitting the performance of interventional procedures that could improve postoperative outcome in these patients. | ||
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_9446 _aServicio de Pediatría-Neonatología |
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_91315 _aUnidad de Cuidados Intensivos Pediátricos |
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_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/2/pc2332.pdf _ySolicitar documento |
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_c2332 _d2332 |