Journal: | Brazilian journal of cardiovascular surgery |
Database: | PERIÓDICA |
System number: | 000290426 |
ISSN: | 1678-9741 |
Authors: | Jatene, Marcelo Biscegli1 Anbar, Ramez Oliveira, Patricia Marques de Abellan, Deipara Monteiro |
Institutions: | 1Hospital Israelita Albert Einstein, Sao Paulo. Brasil |
Year: | 2004 |
Season: | Nov-Dic |
Volumen: | 19 |
Number: | 4 |
Pages: | 402-404 |
Country: | Brasil |
Language: | Portugués |
Document type: | Artículo |
Approach: | Caso clínico, descriptivo |
English abstract | Female neonate diagnosed with ectopia cordis and onphalocele was submitted to an operation at 6 hours of age to reconstruct the abdominal wall and place the heart in the left pleural space. After initial hemodinamic instability the patient was reoperated to open the sternum; with progressive recovery, extubation ocurred on 15th postoperative day and she was discharged in 40th day. With 8 months of life a new operation was successfully performed to close the sternum and reconstruct the abdominal wall. After four years, the child is asymptomatic with no necessity of medications or physical restrictions |
Portuguese abstract | Recém-nascido, sexo feminino, com diagnóstico de ectopia cordis e onfalocele; realizada cesariana e com 6 horas correção da parede abdominal e da ectopia cordis. Evoluiu com grave instabilidade hemodinâmica, sendo reoperada para liberação dos pontos do esterno. Apresentou melhora progressiva, extubação no 15º e alta no 40º dia. Aos oito meses foi reinternada para fechamento do esterno e reconstrução abdominal (neoonfaloplastia). Houve boa evolução, com alta no 5º dia. Com 4 anos de evolução, encontra-se assintomática, sem medicações ou restrições físicas |
Disciplines: | Medicina |
Keyword: | Cirugía, Sistema cardiovascular, Cardiopatías congénitas, Pared abdominal, Malformaciones congénitas |
Keyword: | Medicine, Cardiovascular system, Surgery, Congenital cardiopathies, Abdominal wall, Congenital malformations |
Full text: | Texto completo (Ver HTML) |