AREA DE CARDIOLOGÍA Y CIRUGÍA CARDIOVASCULAR

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    ÍtemAcceso Abierto
    Echocardiography tetralogy of Fallot
    (2015) Mario Carminati
    Surgical correction of tetralogy of Fallot is still one of the most frequently performed inter vention in pediatric cardiac surgery, and in many cases, it is far from being a complete and definitive correction. It is rather an excellent palliation that solves the problem of cyanosis, but predisposes the patients to medical and surgical complications during follow up.The decision-making process regarding the treatment of late sequel is among the most discussed topics in adult congenital cardiology. In post-operative Fallot patients, echocar diography is used as the first method of diagnostic imaging and currently allows both a qualitative observation of the anatomical alterations and a detailed quantification of right ventricular volumes and function, of the right ventricular outflow tract, and of the pulmonary valve and pulmonary arteries.The literature introduced many quantitative echocardiographic criteria useful for the understanding of the pathophysiological mechanisms involving the right ventricle and those have made much more objective any decision-making processes.
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    ÍtemAcceso Abierto
    The Role of Focused Echocardiography in Pediatric Intensive Care: A Critical Appraisal
    (2015) Heloisa Amaral Gaspar; Samira Saady Morhy
    Echocardiography is a key tool for hemodynamic assessment in Intensive Care Units (ICU). Focused echocardiography performed by nonspecialist physicians has a limited scope, and the most relevant parameters assessed by focused echocardiography in Pediatric ICU are left ventricular systolic function, fluid responsiveness, cardiac tamponade and pulmonary hypertension. Proper ability building of pediatric emergency care physicians and intensivists to perform focused echocardiography is feasible and provides improved care of severely ill children and thus should be encouraged.