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>Journals >Cirujano General >Year 2007, Issue 2


Rodríguez-Ortega MF, Solís-Jiménez G, Jacobo VEJ, Díaz QG, Flores CO, Espinosa BO, Gómez ML, Archundia GA
Surgery for congenital cardiopathies of the adult. Experience with 334 patients at the National Medical Center “20 de Noviembre” ISSSTE
Cir Gen 2007; 29 (2)

Language: Español
References: 28
Page: 125-130
PDF: 4. Kb.


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ABSTRACT

Objective: To describe our surgical experience in congenital cardiopathies in the adult at a National Medical Center.
Setting: Third level health care hospital.
Design: Transversal, observational, descriptive, retrolective study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Patients and methods: We reviewed the clinical records of 334 patients corresponding to the period from January 1995 to December 2006. We analyzed the following variables: gender, age, congenital cardiopathy, surgical treatment performed, and aggregated cardiac pathology.
Results: We report on 334 patients, 75 men and 259 women, their ages ranged from 18 to 65 years. Frequency of pathologies were: 250 inter-atrial communication, 29 persistent patent ductus arteriosus, 22 inter-ventricular communication, 19 aortic coarctation, 8 subaortic stenoses, 3 Ebstein’s anomalies, 3 Fallot’s tetralogies. Different surgical procedures were performed according to the pathology and its anatomic location and the aggregated cardiac pathology.
Conclusion: Surgical treatment of congenital cardiopathies at our Institution lies within international standards, and is safe and beneficial. A decrease in morbidity and mortality has also been achieved due to an improved participation of pediatric cardiology in the diagnoses of these diseases.


Key words: Congenital cardiopathy in the adult, surgical treatment.


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