[A hybrid approach to hypoplastic left heart syndrome].
نویسندگان
چکیده
– Stage 2. Triacastela-Sarria (440 m above sea level). We walked toward Samos for 18.6 kilometers, avoiding the first 4 kilometers that run parallel to the road because they required reaching the top of a peak at kilometer 4.7 and had difficult sections for the support vehicles. We felt that the next section, Sarria-Portomarín, was inappropriate, with too many parts unsuitable for vehicular traffic – Stage 3. Portomarín (350 m above sea level)-Palas de Rey (5650 m above sea level), 23 kilometers. This is very rough terrain with an initial climb toward the Gonzar road (540 m above sea level), followed by a flat section of 4 kilometers and 2 more climbs to reach 700 m above sea level and another downhill section, and another climb to cross the Ligonde mountain range (580 m above sea level). This orography can disrupt the discipline of the gait and cause angina crises – Stage 4. Palas de Rey-Melide (455 m above sea level), 15.7 kilometers, and 5th stage, Melide-Arzúa (390 m above sea level), 13.6 kilometers. These stages run over hills and valleys crossed by 6 rivers that empty into the Ulla, with a continuous up-and-down path that tires the climber, and results in safety problems. Some sections pose difficulties for vehicular traffic – Stage 6. Arzúa-Arca (305 m above sea level), 18 kilometers, and stage 7, Arca-Monte del Gozo (345 m above sea level), 15.7 kilometers, flat and with no problems
منابع مشابه
The current role of hybrid procedures in the stage 1 palliation of patients with hypoplastic left heart syndrome.
Hypoplastic left heart syndrome is a relatively common cardiac malformation, accounting for 4-9% of children born with congenital heart disease. Since 1981 the mainstay of treatment has been the Norwood series of operations which have been variously modified, most recently using an RV-PA conduit (Sano shunt). With these surgical modifications and with increased experience in perioperative care ...
متن کاملThe hybrid approach for palliation of hypoplastic left heart syndrome: Intermediate results of a single-center experience.
INTRODUCTION Hypoplastic left heart syndrome (HLHS) is a major cause of cardiac death during the first week of life. The hybrid approach is a reliable, reproducible treatment option for patients with HLHS. Herein we report our results using this approach, focusing on its efficacy, safety and late outcome. METHODS We reviewed prospectively collected data on patients treated for HLHS using a hy...
متن کاملGrowth of left heart structures following the hybrid procedure for borderline hypoplastic left heart.
AIMS The 'hybrid' procedure is an alternative to the Norwood operation in classical hypoplastic left heart syndrome to support the systemic circulation until subsequent palliation. This approach has been extended to infants with the borderline development of left heart structures. We investigated whether or not a hybrid procedure for 'borderline' cases of underdevelopment of the left heart woul...
متن کاملHybrid Palliation for Neonates With Hypoplastic Left Heart Syndrome: Current Strategies and Outcomes
In the last decade the hybrid procedure has emerged as an alternative stage I palliation in neonates with hypoplastic left heart syndrome (HLHS). This review discusses the historical aspect, surgical and interventional techniques, current outcomes and future direction of this procedure. Hybrid palliation yields equivalent but not superior stage I palliation survival and comparable 1-year surviv...
متن کاملybrid Approach for Hypoplastic Left Heart yndrome : Intermediate Results After the earning Curve
Background. Lessons learned during the developme f a novel hybrid approach have resulted in a reli eproducible alternative treatment for hypoplastic l eart syndrome (HLHS). Herein we report our res sing this hybrid approach in a uniform risk cohort Methods. This is a review of prospectively collec ata on patients treated for HLHS using a hybrid roach (n 40) between July 2002 and June 2007. T yb...
متن کاملProximal ductus arteriosus stenosis after the hybrid stage I procedure in a newborn with hypoplastic left heart syndrome
We present a case of a severely ill newborn with hypoplastic left heart syndrome after the hybrid stage I procedure, with right systemic ventricle insufficiency due to proximal ductus arteriosus stenosis. The child was successfully treated with percutaneous second PDA stent implantation.
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ورودعنوان ژورنال:
- Revista espanola de cardiologia
دوره 61 4 شماره
صفحات -
تاریخ انتشار 2008