2007, Number 2
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Cir Gen 2007; 29 (2)
Surgery for congenital cardiopathies of the adult. Experience with 334 patients at the National Medical Center “20 de Noviembre” ISSSTE
Rodríguez-Ortega MF, Solís-Jiménez G, Jacobo VEJ, Díaz QG, Flores CO, Espinosa BO, Gómez ML, Archundia GA
Language: Spanish
References: 28
Page: 125-130
PDF size: 85.29 Kb.
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.
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