Estudo angiográfico comparativo da artéria pulmonar no pré e pós-operatório de pacientes submetidos a operação de derivação cavopulmonar bidirecional
INTRODUÇÃO: Este trabalho analisou as alterações nos diâmetros da artéria pulmonar (AP) após a derivação cavopulmonar bilateral (DCPB). CASUÍSTICA E MÉTODOS: Foram incluídos 18 pacientes submetidos a DCPB, no período de março de 1990 a janeiro de 1997, que possuíam exames cineangiográficos disponíve...
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Published in | Revista brasileira de cirurgia cardiovascular Vol. 16; no. 4; pp. 305 - 320 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English Portuguese |
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Sociedade Brasileira de Cirurgia Cardiovascular
01.12.2001
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Abstract | INTRODUÇÃO: Este trabalho analisou as alterações nos diâmetros da artéria pulmonar (AP) após a derivação cavopulmonar bilateral (DCPB). CASUÍSTICA E MÉTODOS: Foram incluídos 18 pacientes submetidos a DCPB, no período de março de 1990 a janeiro de 1997, que possuíam exames cineangiográficos disponíveis no período pré e pós-operatório. As medidas da AP direita e esquerda foram realizadas em três locais: na origem, imediatamente antes da bifurcação e no início da artéria do lobo inferior. Em seguida, os diâmetros de cada local foram indexados à superfície corpórea ou ao diâmetro da aorta, medido na altura do diafragma. Os dados angiográficos e oximétricos foram submetidos a análise estatística. RESULTADOS: Quando analisados os diâmetros absolutos observou-se que a maioria sofreu aumento não-significante, no período pós-operatório, ao passo que o diâmetro II da AP esquerda apresentou diminuição. Os índices totais I e III apresentaram diminuição significante, no período pós-operatório, e no índice total II a redução não foi significante. A análise da variável seguimento pós-operatório demonstrou redução significativa dos índices totais nos pacientes com seguimento pós-operatório inferior a 23,6 meses. A presença de fluxo sangüíneo adicional determinou o aumento dos índices AP direita II e III, e pequena redução nos outros índices. As medidas da AP indexadas pelo diâmetro da aorta revelaram comportamento semelhante à indexação pela superfície corpórea. Na ausência de circulação venosa colateral (CVC) observou-se aumento significante da saturação de O2, por outro lado, a sua presença determinou um aumento não-significante, durante o período de observação. |
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AbstractList | INTRODUÇÃO: Este trabalho analisou as alterações nos diâmetros da artéria pulmonar (AP) após a derivação cavopulmonar bilateral (DCPB). CASUÍSTICA E MÉTODOS: Foram incluídos 18 pacientes submetidos a DCPB, no período de março de 1990 a janeiro de 1997, que possuíam exames cineangiográficos disponíveis no período pré e pós-operatório. As medidas da AP direita e esquerda foram realizadas em três locais: na origem, imediatamente antes da bifurcação e no início da artéria do lobo inferior. Em seguida, os diâmetros de cada local foram indexados à superfície corpórea ou ao diâmetro da aorta, medido na altura do diafragma. Os dados angiográficos e oximétricos foram submetidos a análise estatística. RESULTADOS: Quando analisados os diâmetros absolutos observou-se que a maioria sofreu aumento não-significante, no período pós-operatório, ao passo que o diâmetro II da AP esquerda apresentou diminuição. Os índices totais I e III apresentaram diminuição significante, no período pós-operatório, e no índice total II a redução não foi significante. A análise da variável seguimento pós-operatório demonstrou redução significativa dos índices totais nos pacientes com seguimento pós-operatório inferior a 23,6 meses. A presença de fluxo sangüíneo adicional determinou o aumento dos índices AP direita II e III, e pequena redução nos outros índices. As medidas da AP indexadas pelo diâmetro da aorta revelaram comportamento semelhante à indexação pela superfície corpórea. Na ausência de circulação venosa colateral (CVC) observou-se aumento significante da saturação de O2, por outro lado, a sua presença determinou um aumento não-significante, durante o período de observação. |
Author | MALUF, Miguel Angel CARVALHO, Antônio Carlos Camargo de WESTPHAL, Fernando Luiz SILVA, Célia Maria Camelo da BUFFOLO, Ênio |
AuthorAffiliation | Universidade Federal de São Paulo |
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Author_xml | – sequence: 1 givenname: Fernando Luiz surname: WESTPHAL fullname: WESTPHAL, Fernando Luiz – sequence: 2 givenname: Miguel Angel surname: MALUF fullname: MALUF, Miguel Angel – sequence: 3 givenname: Célia Maria Camelo da surname: SILVA fullname: SILVA, Célia Maria Camelo da – sequence: 4 givenname: Antônio Carlos Camargo de surname: CARVALHO fullname: CARVALHO, Antônio Carlos Camargo de – sequence: 5 givenname: Ênio surname: BUFFOLO fullname: BUFFOLO, Ênio |
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DocumentTitleAlternate | Comparative angiographic study of the pulmonary artery in pre and postoperative period in patients submitted to bidirectional cavopulmonary shunt |
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Keywords | Heart defects Heart bypass Cardiovascular surgical procedures Artéria pulmonar Procedimentos cirúrgicos cardiovasculares Cardiopatias congênitas Derivação cardíaca direita Pulmonary artery |
Language | English Portuguese |
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Snippet | INTRODUÇÃO: Este trabalho analisou as alterações nos diâmetros da artéria pulmonar (AP) após a derivação cavopulmonar bilateral (DCPB). CASUÍSTICA E MÉTODOS:... |
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SubjectTerms | Artéria pulmonar CARDIAC & CARDIOVASCULAR SYSTEMS Cardiopatias congênitas Derivação cardíaca direita Procedimentos cirúrgicos cardiovasculares SURGERY |
Title | Estudo angiográfico comparativo da artéria pulmonar no pré e pós-operatório de pacientes submetidos a operação de derivação cavopulmonar bidirecional |
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