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Operacion De Jatene Pdf Download

 
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MessagePosté le: Jeu 1 Sep - 17:57 (2016)    Sujet du message: Operacion De Jatene Pdf Download Répondre en citant




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The aorta is then transplanted onto the pulmonary root, using either absorbable or permanent continuous suture. Scottish pathologist Matthew Baillie first described TGA in 1797, presumably as a posthumous diagnosis. If the procedure is anticipated far enough in advance (with prenatal diagnosis, for example), and the individual's blood type is known, a family member with a compatible blood type may donate some or all of the blood needed for transfusion during the use of a heart-lung machine (HLM). The HLM is turned off and the aortic and atrial cannula are removed, then an incision is made in the right atrium, through which the congenital or palliative atrial septal defect (ASD) is repaired; where a Rashkind balloon atrial septostomy was used, the ASD should be able to be closed with sutures, but cases involving large congenital ASDs or Blalock-Hanlon atrial septectomy, a pericardial, xenograft, or Dacron patch may be necessary. Illustration of Arterial Switch Operation .

The circumflex coronary artery may originate from the same coronary sinus as, rather than directly from, the right coronary artery, in which case they may still be excised on the same "button" and transplanted similarly to if they had a shared ostium, unless one or both have intramural communication with another coronary vessel. The great arteries are usually arranged using the Lecompte maneuver, with the aortic cross clamp positioned to hold the pulmonary artery anterior to the ascending aorta; though with some congenital arrangements of the great arteries, such as side-by-side, this is not possible and the arteries will be transplanted in the non-anatomic 'anterior aorta' arrangement. Jatene procedure Intervention An 8 day old right after the Jatene procedure ICD-9-CM 35.84 [edit on Wikidata] . Your browser doesn't accept cookies. The cardiopulmonary bypass is then initiated by inserting a cannula into the ascending aorta as distally from the aortic root as possible while still supplying all arterial branches, another cannula is inserted into the right atrium, and a vent is created for the left ventricle via catheterization of the right superior pulmonary vein. Pre-operative[edit]. In most cases, the coronary implantation sites will be at left and right anterior positions at the base of the neo-aorta; however, if the circumflex coronary artery branches from the right coronary artery, the circumflex coronary artery will be distorted if the pair are not implanted higher than normal on the neo-aorta, and in some cases they may need to be implanted above the aortic commissure, on the native aorta itself.

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