Advances in pediatric surgical and interventional techniques and medical care over the past 50 years have revolutionized the care of children with congenital heart disease. Survival to adulthood is now expected and, as such, there is a growing population of adults which is exceeding the pediatric population with congenital heart disease. Noninvasive cardiac imaging with modalities such as echoc...

OBJECTIVE To evaluate the child development and evaluate a possible association with the commitment by biopsychosocial factors of children with and without congenital heart disease. METHODS Observational study of case-control with three groups: Group 1 - children with congenital heart disease without surgical correction; Group 2 - children with congenital heart disease who underwent surgery; ...

background evaluation of operational risk is a consequential goal in perioperative management of patients in cardiac surgery. preoperative total lymphocyte count (ptlc) is a prognostic criterion of adverse major cardiovascular outcomes. objectives the purpose of this study was to investigate the prognostic value of ptlc as an independent predictor of postoperative morbidity and mortality in car...

anomalous origin of the left coronary artery from the pulmonary artery (alcapa) is a rare congenital cardiac malformation. we report three cases of alcapa who survived to adulthood. the first case was a 51-year-old woman who complained of typical chest pain that was diagnosed with alcapa using cardiac catheterization and coronary computed tomographic angiography (cta). the second case was a 30-...

the purpose of this study was to evaluate the early and late outcome after total correction of tetralogy of fallot (tof) in 101 consecutive patients with a mean age of 8.23 ± 4.90 years underwent repair of surgery at one institution between 1995 and 2006. forty two patients had initial palliative operations. a transannular patch was inserted in 60 (58.5%) patients. risk factors for operative mo...

background and objective: congenital heart disease (chd) is the most form of cardiovascular disease in children. chd have different presentations, from defects that progress asymptomatically to those with significant symptoms and high mortality. this study was performed to highlight the importance of signs and symptoms to diagnosis of chd neonates. materials & methods: this descriptive an...

conclusions in the children in this study, pacemaker accelerometers failed to meet physiological demands. results basal heart rates, maximal heart rates, and exercise tolerance were significantly lower in the children with pacemakers. age, sex, and body mass index had no effect on the heart rate slope during the exercise test. there was no significant difference between epicardial and endocardi...

background: cardiovascular diseases have the highest death rates in human society. coronary artery disease is among the most important of these diseases. no treatment of cardiovascular disease has as much impact on the quality of life of the patients as the heart surgery. the recovery from heart surgery is associated with symptoms of pain and psychological distress. in the early recovery period...

OBJECTIVE Analysis of congenital heart surgery results requires a reliable method of estimating the risk of adverse outcomes. Two major systems in current use are based on projections of risk or complexity that were predominantly subjectively derived. Our goal was to create an objective, empirically based index that can be used to identify the statistically estimated risk of in-hospital mortali...

OBJECTIVE To review the association between congenital heart defects and extracardiac malformations. DATA SOURCES Scientific articles were searched in the Medline, Lilacs, and SciELO databases, using the descriptors "congenital heart disease," "congenital heart defects," "congenital cardiac malformations," "extracardiac defects," and "extracardiac malformations." All case series that specific...