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ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2016, Number 4

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Cir Card Mex 2016; 1 (4)

Comparación de pacientes sometidos a cirugía de Fontan con y sin derivación cardiopulmonar

Ortiz-Vázquez M, Espinosa-Blanco O, Ramirez-Marroquín S, García-Montes JA, Calderón-Colmenero J, Cervantes-Salazar, J

Language: Spanish
References: 21
Page: 135-140
PDF size: 250.28 Kb.


ABSTRACT

Objective. To compare outcome in Fontan patients who have undergone surgery with or without cardiopulmonary bypass.
Methods. Retrospective study of patients underwent to simultaneous myocardial revascularization and carotid endarterectomy , from November 2012 to November 2015.
Results. Ten patients were operated without cardiopulmonary bypass. There was a discrepancy between age in both groups, being younger in the no cardiopulmonary bypass group. About 80% of patients in both groups had a palliative previous procedure. A 18mm graft was used in half of the cases; a fenestration was created in all cases. Length of stay was similar in both groups. There was less need of pharmacologic support and nitric oxide therapy in patients without cardiopulmonary bypass group. No deaths were reported also in this group. At folllow up, most patients had a class I functional status.
Conclusions. In our experience, Fontan operation without cadiopulmonary bypass has similar outcomes compared with cardiopulmonary bypass use.


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