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2021, Number 1

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Acta Med 2021; 19 (1)

Repair of critical congenital heart disease in prematurity

Mármol RK, García AH, Benadón DE, Tietzsch EP, Benita A

Language: Spanish
References: 8
Page: 123-125
PDF size: 182.26 Kb.


ABSTRACT

Critical congenital heart diseases in the neonatal period are conditions that present high mortality, being much more serious when associated with a premature newborn and weighing less than 2,000 grams. These lesions are dependent on the ductus arteriosus, so early diagnosis and the use of prostaglandins to maintain life and hemodynamic stability allows a patient to be as stable as possible for surgical repair. We present the clinical case of a premature newborn weighing 1,700 grams with critical aortic coarctation, who underwent repair through extended coartectomy, with a satisfactory evolution despite the risk variables of gestational age and weight. We present the diagnostic imaging resources for confirmation of the diagnosis and surgical resolution. Management in intensive care is essential for good results, as in our case, and we will briefly discuss the role of neonatal cardiac screening in this group of pathologies.


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