Surgical repair of TGA performed in the developing world is associated with an early survival of 85%. Type of surgical repair and age at operation varied considerably, but no associations with mortality were identified. In contrast, poor nutrition and small surgical volume were most strongly associated with mortality. Multicenter collaborative quality improvement efforts may benefit patients with TGA in the developing world.
Cardiology and Cardiovascular Surgery passed another milestone. The release of the book, The Brazilian Book of Cardiology and Pediatric Cardiovascular Surgery, shows the high levels of ingenuity and closeness among the professionals involved in the Clinic and in the surgeries of congenital and childhood-acquired heart diseases. The first step was taken by founding of the Pediatric Cardiovascular Surgery Department (DCCVPed) of BSCVS. The department was formally established on September 29 th , 2003, during the 58th Brazilian Congress of Cardiology of the Brazilian Society of Cardiovascular Surgery (BSCVS), in Salvador, Bahia, Brazil [1]. At that time, the cardiovascular surgeons involved in the Pediatrics within BSCVS began their work, and were headed by the first President, Dr. Valdester Cavalcante Pinto Jr. Among the countless projects that this first board took on during that time, some of them were ambitious, and among them was the making of a book with a primarily surgical approach. Parallelly, Pediatric Cardiology-which for several years was organized as the Pediatric Cardiology Department (DCPed) of BSCVS-made great progress and, represented by its elected president Dr. Sandra Mattos da Silva-also had similar aspirations: they, too, hoped to develop a clinically-based book. In November 2003, during the 18th Brazilian Congress of Pediatric Cardiology and the 10 th Latin Congress of Pediatric Cardiology in Recife,
TOF patients are often operated on after age 1 year in LMICs. Unlike in developed countries, older age is not a risk factor for death. Nutritional and hypoxemic status were associated with higher mortality and infection. This information fills a critical knowledge gap for surgery in LMIC.
Inalação de solução salina hipertônica como coadjuvante da fisioterapia respiratória para reversão de atelectasia no pós-operatório de cirurgia cardíaca pediátrica SILVA, NLS ET AL-Inhalation of hypertonic saline solution as coadjuvant in respiratory physiotherapy to reverse atelectasis in the postoperative of pediatric heart surgery
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