21 documents found, page 1 of 3
Impact of COVID-19 Pandemic in a Pediatric and Congenital Cardiovascular Surger...
Miana,Leonardo A.; Manuel,Valdano; Caneo,Luiz Fernando; Strabelli,Tânia Mara Varejão; Arita,Elisandra Trevisan; Monteiro,RosângelaAbstract Introduction: The coronavirus disease 2019 (COVID-19) has negatively impacted healthcare services worldwide. We hypothesized that the pandemic would affect our case mix and mortality. Our objective was to study this impact. Methods: We retrospectively studied all patients who underwent congenital heart surgeries from March 21st to August 21st in 2019 and 2020 using the institutional electronic database...
Preoperative Neutrophil-Lymphocyte Ratio Can Predict Outcomes for Patients Unde...
Manuel,Valdano; Miana,Leonardo A.; Guerreiro,Gustavo Pampolha; Turquetto,Aida; Santos,Rômullo Medeiros; Fernandes,Natália; Tenório,Davi FreitasAbstract Introduction: Elevated neutrophil-lymphocyte ratio (NLR) has been associated with poorer outcomes in cyanotic patients undergoing single ventricle palliation. Little is known about this biomarker on patients with tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease. Our objective is to study the impact of preoperative NLR on outcomes of TOF patients undergoing total repair. Meth...
Impact of Vacuum-Assisted Venous Drainage on Forward Flow in Simulated Pediatri...
Guimarães,Daniel Peres; Caneo,Luiz Fernando; Matte,Gregory; Carletto,Luciana P.; Policarpo,Valéria Camargo; Castro,Ana Vitória C. X.Abstract Objective: To analyze the impact of vacuum-assisted venous drainage (VAVD) on arterial pump flow in a simulated pediatric cardiopulmonary bypass circuit utilizing a centrifugal pump (CP) with an external arterial filter. Methods: The simulation circuit consisted of a Quadrox-I Pediatric oxygenator, a Rotaflow CP (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set primed wit...
Analysis of >100,000 Cardiovascular Surgeries Performed at the Heart Institu...
Mejia,Omar A.V.; Lisboa,Luiz Augusto Ferreira; Caneo,Luiz Fernando; Arita,Elisandra Trevisan; Brandão,Carlos Manuel de Almeida; Dias,Ricardo RibeiroAbstract Background: The current challenge of cardiovascular surgery (CVS) is to improve the outcomes in increasingly severe patients. In this respect, continuous quality improvement (CQI) programs have had an impact on outcomes. Objective: To assess the evolution of the incidence and mortality due to CVS, as well as the current outcomes of the Hospital das Clínicas Heart Institute of the University of São Paul...
Early and Long-Term Outcomes of Surgical Treatment of Ebstein’s Anomaly
Silva,Guilherme Viotto Rodrigues da; Miana,Leonardo Augusto; Caneo,Luiz Fernando; Turquetto,Aída Luiza Ribeiro; Tanamati,Carla; Penha,Juliano G.Abstract Objective: This study aimed to evaluate Ebstein’s anomaly surgical correction and its early and long-term outcomes. Methods: A retrospective analysis of 62 consecutive patients who underwent surgical repair of Ebstein’s anomaly in our institution from January 2000 to July 2016. The following long-term outcomes were evaluated: survival, reoperations, tricuspid regurgitation, and postoperative right vent...
Outcomes of the Conversion of the Fontan-Kreutzer Operation to a Total Cavopulm...
Fernandes,Gabriel Carmona; Silva,Guilherme Viotto Rodrigues da; Caneo,Luiz Fernando; Tanamati,Carla; Turquetto,Aida Luiza RibeiroAbstract Background: The Fontan-Kreutzer procedure (FK) was widely performed in the past, but in the long-term generated many complications resulting in univentricular circulation failure. The conversion to total cavopulmonary connection (TCPC) is one of the options for treatment. Objective: To evaluate the results of conversion from FK to TCPC. Methods: A retrospective review of medical records for patients wh...
Rational Use of Mechanical Circulatory Support as a Bridge to Pediatric and Con...
Miana,Leonardo A.; Silva,Guilherme Viotto Rodrigues da; Caneo,Luiz Fernando; Turquetto,Aida Luisa; Tanamati,Carla; Foronda,Gustavo; Massoti,Maria RaquelAbstract Introduction: Donor shortage and organ allocation is the main problem in pediatric heart transplant. Mechanical circulatory support is known to increase waiting list survival, but it is not routinely used in pediatric programs in Latin America. Methods: All patients listed for heart transplant and supported by a mechanical circulatory support between January 2012 and March 2016 were included in this re...
Functional Performance of Different Venous Limb Options in Simulated Neonatal/P...
Caneo,Luiz Fernando; Matte,Gregory S.; Guimarães,Daniel Peres; Viotto,Guilherme; Mazzeto,Marcelo; Cestari,Idagene; Neirotti,Rodolfo A.Abstract Objective: Hemodilution is a concern in cardiopulmonary bypass (CPB). Using a smaller dual tubing rather than a single larger inner diameter (ID) tubing in the venous limb to decrease prime volume has been a standard practice. The purpose of this study is to evaluate these tubing options. Methods: Four different CPB circuits primed with blood (hematocrit 30%) were investigated. Two setups were used wit...
Collaborative Quality Improvement in the Congenital Heart Defects: Development ...
Carmona,Fabio; Manso,Paulo Henrique; Ferreira,Mariana Nicoletti; Ikari,Nana Miura; Jatene,Marcelo Biscegli; Amato,Luciana; Turquetto,Aida LuizaAbstract Objective: ASSIST is the first Brazilian initiative in building a collaborative quality improvement program in pediatric cardiology and congenital heart disease. The purposes of this manuscript are: (a) to describe the development of the ASSIST project, including the historical, philosophical, organizational, and infrastructural components that will facilitate collaborative quality improvement in conge...
Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Ind...
Nina,Vinicius José da Silva; Jatene,Fabio B.; Sevdalis,Nick; Mejía,Omar Asdrúbal Vilca; Brandão,Carlos Manuel de Almeida; Monteiro,RosangelaAbstract Introduction: Most risk stratification scores used in surgery do not include external and non-technical factors as predictors of morbidity and mortality. Objective: The present study aimed to translate and adapt transculturally the Brazilian version of the Disruptions in Surgery Index (DiSI) questionnaire, which was developed to capture the self-perception of each member of the surgical team regarding ...