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Ventana aortopulmonar - Treatment

Nombres alternativos

Defecto del tabique aortopulmonar; Comunicación aortopulmonar

Tratamiento:

La afección normalmente requiere una cirugía a corazón abierto para reparar el defecto. La cirugía debe hacerse lo más pronto posible después de hacer el diagnóstico, por lo general cuando el niño todavía es un recién nacido.

Durante el procedimiento, un sistema de circulación extracorporal reemplaza el corazón del niño. El cirujano abre la aorta y cierra el defecto con un parche hecho ya sea de un pedazo del saco que rodea el corazón (pericardio) o de un material sintético.

Expectativas (pronóstico):

La cirugía para corregir la ventana aortopulmonar es eficaz en la mayoría de los casos. Si el defecto se trata rápidamente, el niño no debe tener ningún tipo de efectos duraderos.

Complicaciones:

La demora en el tratamiento puede llevar a complicaciones tales como:

  • Insuficiencia cardíaca congestiva
  • Hipertensión pulmonar
  • Muerte

Situaciones que requieren asistencia médica:

Llame al médico si su hijo tiene síntomas de ventana aortopulmonar. Cuanto antes se diagnostique y se trate esta afección, mejor será el pronóstico del niño.

  • Reviewed last on: 2/5/2010
  • Kurt R. Schumacher, MD, Pediatric Cardiology, University of Michigan Congenital Heart Center, Ann Arbor, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Miscellaneous congenital cardiac conditions. In: Park MK. Pediatric Cardiology for Practitioners. 5th ed. Philadelphia, Pa:Mosby Elsevier; 2008:chap 17.

Jansen C. Surgical repair of aortopulmonary window: thirty-seven years of experience. Pediatr Cardiol, 2006;27:552-556.

Koh Su-Mei A, Ju-Le T. Large unrepaired aortopulmonary window--survival into the seventh decade. Echocardiography, 2007;24:71-73.

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