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Infant, hemodinamics

Selahattin Akar, Nilgun Karadag, Tulin Gokmen Yildirim, Handan Hakyemez Toptan, Emre Dincer, Abdulhamit Tuten, Taner Yavuz, Sevilay Topcuoglu, Hande Ozgun Karatepe, Elif Ozalkaya, Guner Karatekin, Fahri Ovali
OBJECTIVE: The aim of this study is to evaluate whether the platelet mass in the first 24 h of life is effective on closure of patent ductus arteriosus (PDA) or not. STUDY DESIGN: Preterm infants with a gestational age of < 32 weeks, hospitalized at a tertiary neonatal intensive care unit (NICU) and requiring medical treatment (intravenous or oral ibuprofen) for hemodinamically significant PDA (hsPDA) were enrolled in this study. The patients were divided into two groups after first course of pharmacologic treatment according to closure of PDA (Group 1: PDA closure, Group 2: PDA without closure)...
December 2016: Journal of Maternal-fetal & Neonatal Medicine
Giulia Aquilano, Silvia Galletti, Arianna Aceti, Francesca Vitali, Giacomo Faldella
BACKGROUND: Current literature provides limited data on the hemodynamic changes that may occur during bi-level continuous positive airway pressure (CPAP) support in preterm infants. However, the application of a positive end-expiratory pressure may be transmitted to the heart and the great vessels resulting in changes of central blood flow. OBJECTIVE: To assess changes in central blood flow in infants with respiratory distress syndrome (RDS) during bi-level CPAP support...
June 21, 2014: Italian Journal of Pediatrics
Marcelo Biscegli Jatene, Patrícia M Oliveira, Rafael A Moysés, Ieda Biscegli Jatene, Carlos A Pedra, Simone F Pedra, Fabiana Succi, Vitor Oliveira Carvalho, Carlos R Ferreiro
We report a technique to palliate hypoplastic left heart syndrome, with no PDA stenting, but with double polytetrafluoroethylene shunt from pulmonary artery to ascending and descending aorta by combined thoracotomies. A 30-day-old female was operated with this technique. Five months after first operation, the child was submitted to Norwood/Glenn operation. Good hemodinamic recovery and initial clinical evolution was observed. The child was extubated in 8th post operatory day and reentubated in the next day due to pulmonary infection...
2011: Journal of Cardiothoracic Surgery
Juan Calderón-Colmenero, Jorge L Cervantes, Samuel Ramírez Marroquín, Fause Attie
The history and evolution of the cardiovascular surgery and pediatric cardiology is fascinating. For centuries many erroneous galenic concepts about cardiovascular anatomy and physiology were sustained by physicians. At the end of the XIX century and during the XX century, the progress in science allowed for a more appropriate understanding of the anatomophysiology of the cardiovascular system, promoting the concept of dispensability of half of the heart. This concept of right ventricle dispensability has subsisted, teaching us lessons that have led to a bear understanding of the hemodinamic behavior of many cardiac congenital malformations...
October 2006: Archivos de Cardiología de México
G Rojas Poceros, E Viveros-Renteria, A Kably-Ambe
The HELLP syndrome is an English acronym, for describing patients with Pregnancy Induced Hypertension (PIH), who also has hemolysis, elevated hepatic enzymes and low platelets, its presence is associated with a frequency of maternal mortality from 5 to 25% and when it is associated with hepatic rupture it increases to 35% and a perinatal one from 30 to 60%. It is present in 2 to 12% among women with PIH. Its etiology has not been elucidated completely, the base of its pathophysiology is an unbalance in prostanoid metabolism which conduces to generalize vasopasm with the subsequent endothelial damage and platelets activation...
February 1996: Ginecología y Obstetricia de México
A Vilariño Mosquera, I CanoNovillo, I Benavent Gordo, M A Jiménez, M Delga Manzanares, C Barrios, F J Berchi García
We present the cases of necrotizing enterocolitis (NEC) treated in our hospital between 1980 and 1994, in order to analyze the risk factors that appear in the disease. We elaborate treatment and follow-up protocols. Prematurity, low birth weight and perinatal stress have a significant influence in NEC. Hemodinamic inestability, bloody stools, abdominal distension with decrease gastric outlet, along with significant radiological evidence in 90 percent of the cases, should rise suspition of NEC. We find fundamental the prevention of the disease in premature newborns with risk factors...
October 1995: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
C M Arroyave, F Puente Ledezma, G Montiel Amoroso, A C Martínez García
We report a 36 years old patient with Sjogren's syndrome, who during her second pregnancy, the product developed a miocardiopathy with complete heart block that was diagnosed in utero at 26 weeks of pregnancy. Simultaneously, laboratory data reported a SS-A/Ro titer of 1:50,000 with positive antiphospholipids antibodies. Patient was subjected three times to plasmapheresis with three blood volume exchange each time. During the procedures, we had monitor the product and no hemodinamic changes were observed. Unfortunately, 25 days later the patient reported absence of fetal movement and by ecosonography and Doppler was not observed fetal movement or cardiac function...
March 1995: Ginecología y Obstetricia de México
S Morax, C Cochetel
Lymphangiomas can be considered as hemodinamically isolated vascular hamartomas. They are rare tumors, and their orbito-palpebral location can be cosmetically and functionally detrimental. In severe cases, the treatment is mainly surgical and effective only if complete removal is performed. The result is often deceiving because of the diffuse extension of these tumors. We hereby report two exceptionally severe cases that both presented with major cosmetic impairment and visual loss. We discuss literature available, the management and the methods of treatment and the non-surgical alternatives...
1991: Annales de Chirurgie Plastique et Esthétique
P Stritoni, L Daliento, R Chioin, V Gallucci, E Congedo, G Scattolin, G M Boffa, S Dalla Volta
Ten cases of total abnormal pulmonary venous connection are described: 5 cases with supracardiac drainage, 4 with sub-diaphragmatic drainage and one with intracardiac drainage, 3 cases with supradiaphragmatic drainage, and 4 with subdiaphragmatic drainage have undergone surgical treatment. Some developmental, embryological and pathophysiological signs of this malformation are reported. The more significant clinical and instrumental data arising from our personal cases and from review data are discussed. In the clinical description a distinction is made between cases with venous obstruction and those without venous obstruction...
May 1978: Giornale Italiano di Cardiologia
G Merino Batres, F Rico Gómez, C González Diéguez, E Marín Huerta, M Quero Jiménez
This is a study of 23 cases with pulmonary plethora and cardiac failure. A "banding" of pulmonary artery was performed, to diminish the pulmonary bloodflow in order to avoid the development of pulmonary hypertensive changes and to improve the heart failure. The mean age of the cases operated upon was 16,9 months. The complications post-banding were: stenosis of the pulmonary outflow tract and necrosis or calcification of the pulmonary artery wall. There was a direct relationship between these complications and the time of persistence of the "banding"...
November 1977: Anales Españoles de Pediatría
J L Marqués Defez, J Vázquez Pérez, M Ribera Otero, E Tomás Collado
Ten cases of pulmonary atresia with intact ventricular septum are presented. The groups in which these patients are classified are described, thinking that the mentioned classification is a simplification of the problem. After discussion of the dates apported by clinic, thorax X-Rays and electrocardiogram, authors come to the conclusion that they are not specific of this cardiopathy. Contribution of hemodinamic and angiocardiographic characteristics, paying special attention to the blood flow to lung vascular tree and in existance of intramyocardium sinusoid are shown...
October 1979: Anales Españoles de Pediatría
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