17 documents found, page 1 of 2
Anemia in Cardiac Surgery - Can Something Bad Get Worse?
Faria,Leandro Batisti de; Mejia,Omar Vilca; Miana,Leonardo Augusto; Lisboa,Luiz Augusto Ferreira; Manuel,Valdano; Jatene,Marcelo B.; Jatene,Fabio B.Abstract Introduction: Anemia and blood transfusion are risk factors for morbidity/mortality in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). The objective of this study is to analyze the association of blood transfusion with morbidity/mortality in patients undergoing coronary artery bypass grafting (CABG) under CPB in the state of São Paulo, Brazil. Methods: This is a retrospective ana...
Surgical Correction of Ascending Aortic Aneurysm Without Coronary Dilatation Af...
Santos,Rômullo M; Massoti,Maria Raquel B; Coronel,Monica Raquel Gonzalez; Maia,Frederico Faria; Miana,Leonardo Augusto; Jatene,Marcelo BiscegliAbstract Kawasaki disease (KD) is an inflammatory condition that may affect genetically predisposed individuals in pediatric ages after infectious/environmental triggering. An infrequent finding associated with KD is ascending aortic aneurysm during or after the acute phase of the disease. In this Multimedia presentation, we describe a three-year-old girl submitted to surgical treatment.
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...
Cardiopulmonary Resuscitation in an Average Brazilian Intensive Care Unit: Shou...
Miana,Leonardo Augusto; Moraes,Marcella Mendes; Moraes,Bernardo Mendes; Ponte,Pedro Guilherme; Venturelli Júnior,Eduardo; Mallosto,Rodrigo UrbanoAbstract Introduction: Few data can be found about cardiac arrest in the intensive care unit outside reference centers in third world countries. Objective: To study epidemiology and prognostic factors associated with cardiac arrest in the intensive care unit (ICU) in an average Brazilian center. Methods: Between June 2011 and July 2014, 302 cases of cardiac arrest in the intensive care unit were prospectively e...
Use of Short-term Circulatory Support as a Bridge in Pediatric Heart Transplant...
Canêo,Luiz Fernando; Miana,Leonardo Augusto; Tanamati,Carla; Penha,Juliano Gomes; Shimoda,Monica Satsuki; Azeka,Estela; Miura,NanaBackground:Heart transplantation is considered the gold standard therapy for the advanced heart failure, but donor shortage, especially in pediatric patients, is the main limitation for this procedure, so most sick patients die while waiting for the procedure.Objective:To evaluate the use of short-term circulatory support as a bridge to transplantation in end-stage cardiomyopathy.Methods:Retrospective clinical ...
Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pul...
Penha,Juliano Gomes da; Zorzanelli,Leina; Barbosa-Lopes,Antonio Augusto; Atik,Edimar; Miana,Leonardo Augusto; Tanamati,Carla; Caneo,Luiz FernandoBackground:Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level.Objective:Report our institutional experi...
Post-cardiotomy ECMO in pediatric and congenital heart surgery: impact of team ...
Miana,Leonardo Augusto; Canêo,Luiz Fernando; Tanamati,Carla; Penha,Juliano Gomes; Guimarães,Vanessa Alves; Miura,NanaAbstract Introduction: Post-cardiotomy myocardial dysfunction requiring mechanical circulatory support occurs in about 0.5% of cases. In our environment, the use of extracorporeal membrane oxygenation has been increasing in recent years. Objective: To evaluate the impact of investment in professional training and improvement of equipment in the rate of weaning from extracorporeal membrane oxygenation and surviv...
Pediatric and congenital heart transplant: twenty-year experience in a tertiary...
Miana,Leonardo Augusto; Azeka,Estela; Canêo,Luiz Fernando; Turquetto,Aída Luisa; Tanamati,Carla; Penha,Juliano Gomes; Cauduro,AlexandreIntroduction: Cardiac transplantation remains the gold standard for end-stage cardiomyopathies and congenital heart defects in pediatric patients. Objective: This study aims to report on 20 years of experience since the first case and evaluate our results. Methods: We conducted a retrospective analysis of the database and outpatient follow-up. Between October 1992 and April 2012, 109 patients underwent 114 tran...
Bandagem ajustável do tronco pulmonar: IX: atividade da G6PD do miocárdio de ca...
Assad,Renato Samy; Miana,Leonardo Augusto; Fonseca-Alaniz,Miriam Helena; Abduch,Maria Cristina Donadio; Silva,Gustavo José Justo daOBJETIVO: O aumento da atividade miocárdica da Glicose 6-Fosfato Desidrogenase tem sido demonstrado na insuficiência cardíaca. Este estudo avalia a atividade miocárdica da Glicose 6-Fosfato Desidrogenase no treinamento do ventrículo subpulmonar de cabras adultas. MÉTODOS: Foram utilizadas 18 cabras adultas, divididas em três grupos: convencional (bandagem fixa), sham e intermitente (bandagem ajustável; 12 horas...
Impacto do ecocardiograma transesofágico intraoperatório na mortalidade em ciru...
Salgado Filho,Marcello Fonseca; Verçosa,Nubia; Cavalcanti,Ismar Lima; Miana,Leonardo Augusto; Souza,Cleber Macharet de; Borato,Eduardo; Palitot,IzabelaOBJETIVO: avaliar as taxas de mortalidade e morbidade de doentes submetidos à revascularização do miocárdio (RVM) com circulação extracorpórea (CEC) que utilizaram rotineiramente o ecocardiograma transesofágico intraoperatório (ETEio). MÉTODOS: estudo retrospectivo, observacional com avaliação de prontuários de 360 doentes no período entre abril de 2010 a abril de 2012. Foram analisados: idade, peso, altura sex...