Fungal infections in paediatric patients after cardiac surgery may markedly influence morbidity and mortality. Fungal infection prophylaxis in this specific group of children may reduce morbidity, whereas early empirical treatment followed by a targeted approach may improve outcomes. The 'hit fast, hit hard' treatment strategy may be the best rescue option for children who develop invasive fungal disease after cardiac surgery.
StreszczenieChłonkotok jest rzadkim, lecz bardzo poważnym powikłaniem rozległych zabiegów operacyjnych w obrębie klatki piersiowej (operacje wrodzonych wad serca), jak również wrodzonym problemem noworodków, lub konsekwencją procesów rozrostowych w obrębie klatki piersiowej. Przedstawiamy przyczyny chłonkotoku, postępowanie diagnostyczne oraz możliwości terapeutyczne farmakologiczne oraz operacyjne.Słowa kluczowe: chłonkotok, wrodzona wada serca, kardiochirurgia dziecięca Cardiologica 2018; 13, 4: 359-366
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Cardiac tumors are extremely rare in neonates. We describe the case of a right atrial hemangioma in a neonate diagnosed prenatally and successfully operated on the first day of life.
An outbreak of invasive Mycobacterium chimaera infections associated with “heater-cooler” devices in patients treated with cardiac surgery has been described worldwide. The authors summarize the current state of knowledge regarding the epidemiology, diagnostics, treatment, and prevention of Mycobacterium chimaera infections in patients after cardiothoracic surgery.
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