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2014 | 4 | 2 | 11-19
Tytuł artykułu

Comparison of the clinical status and the effects of treatment of newborns with interrupted aortic arch diagnosed prenatally and postnatally in the "Polish Mother's Memorial" Institute in Lodz in the years 2003-2012

Treść / Zawartość
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Języki publikacji
EN
Abstrakty
EN
Material and Methods: A retrospective analysis of 41 patients with congenital heart defect IAA from ICZMP in Lodz in the years 2003-2012, including 15 (36.6%) after prenatal diagnosis. Results: An average of 4 newborns with IAA were operated annually, in the years 2003 -2009 postnatal diagnosis dominated, from 2010 prenatal diagnosis. In the group, n = 15 fetuses with IAA, heart size was normal: Avg 0.33 + / -0.05 HA / CA. Cardiovascular endurance in the CVPS : 8 - 10 points Avg. 9.56 + / -0.73. Infants in the "prenatal" group were often delivered by CS (64.3%), and infants diagnosed postnatally, often by spontaneous delivery (76.9%). In the prenatal group 100% of newborns received prostaglandin E1 from day one, and the "postnatal" group at an average of 6th day. In the "prenatal" group the dose of PGE: 0.02 ug / kg / min, in the "postnatal" group the average dose was> 2 x higher 0,042 mg / kg / min. A statistically significant relationship was shown: between the day of administering prostaglandin E1 and the number of postoperative recovery hospitalization days of the newborn with IAA. Di George Syndrome occurred in 40% in the "prenatal" and in 15.4% in the "postnatal" group. Cardiac operations in the "prenatal" group were performed at average 19th day, and at average 21st day in the "postnatal" group. Infants in the "prenatal" group remained in the postoperative recovery room an average of 7.85 + / -3.98 days, and those from the “postnatal” group an average of 8.38 + / -3.94 days (p = 0.6212). There were 3 deaths (7.3%): 1 patient diagnosed prenatally and 2 postnatally. Neonates with IAA in the "prenatal" group remained in the hospital on average: 43.69 + / - 4.82 days and 39.54 + / -3.75 days in the "postnatal" group. After cardiac surgery, hospitalization in the "prenatal" group amounted to an average of 25.2 days in the "postnatal" 26.7 days. Conclusions: 1. The prenatal diagnosis of IAA was grounds to start the administration of prostaglandin E1 on the first day of life, and in the "postnatal" group the administration of prostaglandin followed on average 6 days after birth, the "postnatal" dose was 2 x higher. 2. A statistically significant correlation was demonstrated between the day of prostaglandin E1 commencement and the number of hospitalization days of the newborn with IAA in the postoperative recovery room, the length of hospital stay in the ICU and sometimes full hospitalization.
Wydawca

Czasopismo
Rocznik
Tom
4
Numer
2
Strony
11-19
Opis fizyczny
Daty
wydano
2014-06-01
otrzymano
2014-05-04
zaakceptowano
2014-06-30
online
2015-12-30
Twórcy
  • Subdivision of Anesthesiology and Intensive Care, Pediatric Department of Anesthesiology and Intensive Care Medicine, Polish Mother’s Memorial Hospital Research Institute
  • Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute
  • Institute of Health Sciences. The State School of Higher Professional Education in Płock
  • Department of Anesthesiology and Int Medical Therapy
autor
  • Cardiosurgery Department, Polish Mother’s Memorial Hospital Research Institute
  • Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute
  • Department of Diagnoses and Prevention Fetal Malformations Medical University of Lodz
Bibliografia
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  • 17. Volpe P, Marasini M, Caruso G, i wsp. Prenatal diagnosis of interrupted of the aortic arch and its association with deletion of chromosome 22q11. Ultrasound in Obstetrics & Gynecology2002;4(20):327-331.
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  • 24. Respondek-Liberska M. Atlas wad serca u płodu. Wybór patologii pod kątem ich znaczenia klinicznego. Wydawnictwo ADI, Łódź 2011.
  • 25. Słodki M. Opracowanie modelu opieki nad ciężarną z wrodzoną wadą serca u płodu na podstawie nowego prenatalnego podziału wad serca. Rozprawa habilitacyjna. Łódź 2012.
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  • 28. Morales D, Scully P, i wsp. Interrupted Aortic Arch Repair. Aortic Arch Advancement Without a Patch Minimizes Arch Reinterventions. The Annals of Thoracic Surgery 2006;5(82):1577-1584.
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  • 31. McCrindle B, Tchervenkov Ch, i wsp. Risk factors associated with mortality and interventions in 472 neonates with interrupted aortic arch. A Congenital Heart Surgeons Society Study. The Journal of Thoratic and Cardiovascular Surgery 2005; 2(129):343-350.
  • 32. Pan J, Hsieh K, i wsp. Complete Repair of Iterrupted Aortic Arch with Ventricular Septal Defect In a Premature Weighing 1600 Grams - A Case Report. Acta Cardiolodigica Sinica 2005;21:54-57.
  • 33. Lacour-Gayet i wsp. Ross-Konno Procedure in Neonates. Report Of Three Patients. The Society of Thoracic Surgeons 2004;77:2223-2225.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_12847_06142
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