Tratamiento quirúrgico en pacientes pediátricos con comunicación interauricular del Hospital Francisco de Icaza Bustamente, 2016-2018
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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INTRODUCCION: Una cardiopatía congénita es una anomalía en la formación del corazón durante su desarrollo embrionario. La posibilidad de transmisión de una cardiopatía congénita a la descendencia es en general baja y oscila entre el 3% y el 5%, y variar en función del tipo de cardiopatía. La comunicación interauricular representa un 10 % de todas las cardiopatías congénitas, con una incidencia de 3.78/10000 nacidos vivos. OBJETIVO GENERAL: Determinar las complicaciones postquirúrgicas, en base a hallazgos clínicos, en pacientes intervenidos con comunicación interauricular. MÉTODOS: para la realización del presente estudio se usó el Diseño observacional, retrospectiva de corte longitudinal el método de investigación fue Análisis-síntesis y deductivo inductivo. RESULTADOS: Los pacientes que han sido diagnosticados con comunicación interauricular, el 63,2% corresponde a mujeres y el 36,8% corresponde a hombres. Los pacientes diagnosticados con comunicación interauricular por medio de ecocardiograma el 28,3% tuvieron un diámetro de comunicación mayor a 10 milímetros, y el 71,7% menor a 10mm. EL principal hallazgo clínico que presentó en los pacientes, fue es el soplo holosistólico (36,1%). Los pacientes que han sido tratados quirúrgicamente fue (34%). En el tratamiento quirúrgico el 69% cierre de la comunicación interauricular con un parche pericárdico, mientras que el 31% tuvo una sutura directa en el sitio del defecto. Luego de la intervención quirúrgica el (38,9%) no presentaron complicaciones, la complicación más frecuente en estos pacientes es la fibrilación ventricular (22,2%). La mortalidad de los pacientes intervenidos quirúrgicamente fue 6%.
INTRODUCTION: A congenital heart disease is an abnormality in the formation of the heart during its embryonic development. The possibility of transmission of congenital cardiopathy to descendants is generally low and varies between 3% and 5%, and it varies depending on the type of heart disease. Atrial septal defect accounts for 10% of all congenital heart disease, with an incidence of 3. 78/10000 live births. GENERAL OBJECTIVE: To determine post-surgical complications, based on clinical findings, in intervened patients with atrial septal defect. METHODS: for the accomplishment of the present study the observational Design was used, retrospective of longitudinal cut the method of investigation was Analysis-synthesis and deductive inductive. RESULTS: In patients diagnosed with ASD, 63. 2% were women and 36. 8% were men. Patients diagnosed with atrial septal defect by echocardiogram 28. 3% had a communication diameter greater than 10 mm, and 71. 7% had a communication diameter less than 10 mm. The main clinical finding presented in the patients was the holosystolic murmur (36. 1%). Patients who have been treated surgically was (34%). In surgical treatment 69% closure of the atrial septal defect with a pericardial patch, while 31% had a direct suture at the defect site. After surgery 38. 9% had no complications, the most frequent complication in these patients is ventricular fibrillation (22. 2%). Mortality in patients undergoing surgery was 6%.
INTRODUCTION: A congenital heart disease is an abnormality in the formation of the heart during its embryonic development. The possibility of transmission of congenital cardiopathy to descendants is generally low and varies between 3% and 5%, and it varies depending on the type of heart disease. Atrial septal defect accounts for 10% of all congenital heart disease, with an incidence of 3. 78/10000 live births. GENERAL OBJECTIVE: To determine post-surgical complications, based on clinical findings, in intervened patients with atrial septal defect. METHODS: for the accomplishment of the present study the observational Design was used, retrospective of longitudinal cut the method of investigation was Analysis-synthesis and deductive inductive. RESULTS: In patients diagnosed with ASD, 63. 2% were women and 36. 8% were men. Patients diagnosed with atrial septal defect by echocardiogram 28. 3% had a communication diameter greater than 10 mm, and 71. 7% had a communication diameter less than 10 mm. The main clinical finding presented in the patients was the holosystolic murmur (36. 1%). Patients who have been treated surgically was (34%). In surgical treatment 69% closure of the atrial septal defect with a pericardial patch, while 31% had a direct suture at the defect site. After surgery 38. 9% had no complications, the most frequent complication in these patients is ventricular fibrillation (22. 2%). Mortality in patients undergoing surgery was 6%.
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Cardiopatías congénitas, Comunicación interauricular, Soplo holosistólico, Tratamiento quirúrgico, Fibrilación ventricular, Complicaciones, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador, Estudios retrospectivos