%0 Journal Article
%T Valor de monitorizaci車n de la saturaci車n venosa central de ox赤geno en neonatos cr赤ticos con fisiolog赤a univentricular: a prop車sito de un caso Value of the monitoring of the central venous oxygen saturation in critical neonates with univentricular physiology: apropos of a case
%A Luis Alberto Bravo P谷rez de Ordaz
%A Jos谷 Lambert Maresma
%A Omar Machado Sigler
%A Javier Ozores Su芍rez
%J Revista Cubana de Pediatrˋ-a
%D 2008
%I Editorial Ciencias M谷dicas
%X Reportamos la evoluci車n de un paciente que pod赤a ser operado mediante el procedimiento Norwood I, pero a quien se realiz車 un procedimiento paliativo h赤brido alternativo. Se trat車 de un reci谷n nacido de 13 d赤as de edad, que ingres車 en nuestro centro con insuficiencia card赤aca congestiva. Se le realiz車 ecocardiograma, en el que se confirm車 atresia a車rtica, coartaci車n a車rtica y comunicaci車n interventricular. Se le aplic車 un procedimiento consistente en atrioseptostom赤a con bal車n (Rashkind), cerclaje de las ramas pulmonares y colocaci車n de una endopr車tesis vascular ('stent') en el conducto arterioso. El paciente present車 una evoluci車n estable durante la operaci車n. Evaluamos su comportamiento hemodin芍mico durante las primeras 72 h. The evolution of a patient that could be operated on by the Norwood I procedure, but underwent an alternative hybrid palliative procedure instead, was reported. The patient, a 13-day-old newborn infant was admitted in our centre with congestive heart failure. An echocardiogram was performed, and aortic atresia, aortic coarctation and intraventricular communication were confirmed. A procedure consisting in balloon atrioseptostomy (Rashkind), cerclage of the pulmonary branches and placement of a vascular endoprosthesis (stent) in the arterious duct was applied. The patient presented a stable evolution during the operation. His hemodynamic behaviour was evaluated during the first 72 hours.
%K S赤ndrome de hipoplasia de cavidades izquierdas
%K fisiolog赤a univentricular
%K Norwood I
%K saturaci車n venosa de ox赤geno
%K Syndrome of left cavity hypoplasia
%K univentricular physiology
%K Norwood I
%K venous oxygen saturation
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312008000100012