000			03188na a2200349 4500
003			H12O
005			20210706062650.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aAlbert de la Torre, Leticia _9848 _ePediatría
100			_aBoni, Lorenzo _92095 _eCirugía Cardiaca
100			_aComas Illas, Juan Valentín _91849 _eCirugía Cardíaca Pediátrica
100			_aGranados Ruiz, Miguel Ángel _9851 _ePediatría
100			_9808 _aHerrera Linde, María Dolores _eCardiología
100			_aMendoza Soto, Alberto _9849 _ePediatría
100			_9828 _aPérez Martínez, Ana _eCardiología
100			_aRamos Casado, María Victoria _9787 _ePediatría
100			_92096 _aRuiz Alonso, Enrique _eCirugía Cardiovascular
100			_9850 _aVelasco Bayón, José Manuel _eCardiología
245	0	0	_aFontan Operation. Hemodynamic Factors Associated With Postoperative Outcomes. _h[artículo]
260			_bRevista Española de Cardiología (English Edition), _c2012
300			_a65(4):356-62.
500			_aFormato Vancouver: Mendoza A, Albert L, Ruiz E, Boni L, Ramos V, Velasco JM, et al. Fontan operation. Hemodynamic factors associated with postoperative outcomes. Rev Esp Cardiol (Engl Ed). 2012 Apr;65(4):356-62.
501			_aPMID: 22325935
504			_aContiene 37 referencias
520			_aIntroduction and objectives: The Fontan operation is usually the final palliative procedure in patients with univentricular heart. The objectives of this study were, firstly, to describe the clinical and haemodynamic characteristics of a group of patients with univentricular physiology who had previously been palliated with a bidirectional Glenn procedure and, secondly, to identify risk factors that can influence postoperative outcomes after the Fontan operation. Methods: Retrospective study with 32 patients who underwent a Fontan operation between March 2000 and December 2009. Clinical characteristics, catheterization data, type and duration of surgery were revised and analyzed as predictors of postoperative outcome. Results: Hospital mortality was 3%. After a median follow-up of 44 months (interquartile range, 32-79), survival was 90%. Preoperative mean pulmonary arterial pressure (measured during catheterization) was correlated with late mortality. Of the remaining variables analyzed, the Nakata and McGoon indices, and duration of cardiopulmonary bypass showed the highest correlations with postoperative outcomes. Interventional catheterization before the Fontan operation was performed in 42% of patients. Conclusions: Hospital mortality after the Fontan operation was very low. The performance of a haemodynamic study before the Fontan operation made it possible to select high-risk patients for surgery as well as permitting the performance of interventional procedures that could improve postoperative outcome in these patients.
710			_9446 _aServicio de Pediatría-Neonatología
710			_91315 _aUnidad de Cuidados Intensivos Pediátricos
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/2/pc2332.pdf _ySolicitar documento
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999			_c2332 _d2332