Villanueva RF, Careaga RG, Argüero SR

Language: Spanish
References: 16
Page: 16-20
PDF size: 67.33 Kb.

ABSTRACT

Objective: To determine the type of surgical handling carried out for the treatment of the patients with Ebstein´s disease in a cardiologic center of third level of attention. Material and methods: The clinical file of the patients was revised with Ebstein´s disease tried in the division of cardiothoracic surgery of our hospital between January of 1997 and December of the 2001, with the purpose of obtaining age, sex, symptoms and functional class to the entrance, cabinet method used for the diagnosis, concomitant heart disease, surgical technique employed, length of stay in intensive care unit, complications, in-hospital stay and causes of death in the event of existing the same one. Results: Eight patients were included, with an age 13.3 year-old average, with relationship man woman of 1:1. The present symptom in all the patients was the progressive dyspnea. The echocardiogram was used in all the cases for carrying out the I diagnose and pursuit. The class functional III preoperatory prevailed. The atrial septal defect was the most frequent concomitant cardiopathy. The surgical correction that was used with more frequency in our service is the tricuspid valve reconstruction according to the surgical circumstances. The stay average in the unit intensive care was of 4.8 days. The flutter headphone is the most frequent postoperative complication in these patients. The average of total stay in the hospital is of 17.3 days. There was 1 death caused by refractory arrhythmia. Conclusions: The treatment surgical conservative is the best therapeutic option for this pathology. The tricuspid valve reconstruction used in this therapy variety has given good result in this Hospital Center.

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