000			nab a22 7a 4500
999			_c17015 _d17015
003			PC17015
005			20221013133711.0
008			221013b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9849 _aMendoza Soto, Alberto _ePediatría
100			_93104 _aPaz, M.A. _ePediatría
100			_93105 _aGarcía, E _ePediatría
100			_93106 _aAguilar, J.M. _ePediatría
100			_91849 _aComas Illas, Juan Valentín _eCirugía Cardíaca Pediátrica
245	0	0	_aFeasibility and safety of biventricular repair in neonates with hypoplastic left heart complex. _h[artículo]
260			_bPediatric cardiology, _c2015
300			_a36(2):274-80.
500			_aFormato Vancouver: Bergonzini S, Mendoza A, Paz MA, García E, Aguilar JM, Arlati FG et al. Feasibility and safety of biventricular repair in neonates with hypoplastic left heart complex. Pediatr Cardiol. 2015 Feb;36(2):274-80.
501			_aPMID: 25096907
504			_aContiene 18 referencias
520			_aHypoplastic left heart syndrome is a spectrum of structural cardiac malformations characterized by variable underdevelopment of the left heart-aorta complex. A minority of patients having a milder degree of left ventricular hypoplasia, described as hypoplastic left heart complex (HLHC), may be selected for biventricular repair. The objective of this study was to assess the outcome of the biventricular approach in HLHC. We evaluated retrospectively 30 neonates diagnosed with HLHC from the "12 de Octubre" University Hospital, following established criteria. We analyzed the echocardiographic data recorded just after birth and at last follow-up after surgery. All patients were operated on in the neonatal period using various surgical techniques. There were no early deaths and only 1 late death after a mean follow-up of 62.9 ± 43.8 months. All patients presented a significant growth of the left ventricular structures, with a Z-score increase of 1.17 ± 1.05 for mitral annulus, 1.72 ± 1.23 for aortic annulus, and 1.33 ± 1.46 for left ventricular end-diastolic diameter. Postoperatively, 18 patients showed a left valvular stenosis, and 17 patients underwent a reoperation and/or an interventional procedure. Freedom from surgery or interventional catheterizations at 1, 3 and 5 years was 53, 49 and 43%, respectively. The 29 current survivors are all in a good functional status. In our experience, we achieved good results from biventricular repair in patients with HLHC, with a significant growth of left heart structures and an excellent clinical status at a medium-term follow-up. Nevertheless, there was a high rate of reoperations and/or interventional catheterizations.
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17015.pdf _ySolicitar artículo
942			_2ddc _cART _n0