publicado em 17/08/2012 às 13h33:00
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Incor holds first joint effort against cardiac malformation in SP

Over the next three weekends, 40 patients will undergo implantation of the prosthesis by catheterization

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The Hospital of the Medical School of USP promotes, starting this Saturday (18), the first joint effort for treatment of congenital malformation of the heart. The procedures will be performed at the Heart Institute (Incor), connected to the HC.

For the next three weekends a team of 30 doctors and 20 nurses Incor-HCFMUSP attend to 40 patients, including adults and children, who will implant a prosthesis for cardiac catheterization for total correction of their congenital malformations.

Each procedure takes on average one hour, with the patient under anesthesia, and requires 24 hours of recovery in hospital. In conventional surgery, the intervention has five hours long and requires up to seven days of hospital recovery.

The task force will be held from 8h to 18h, and on Saturdays from 8 am to 13 pm, Sundays. The initiative, in addition to improving the quality of life of patients, will be an opportunity to alert the population about the importance of early diagnosis and treatment of congenital heart.

The famous air fouls for walking or climbing stairs and popular mixer chest can be symptoms of many heart problems, including congenital malformations. It is a disease that affects 6-8 children between 1000 newborns and can lead even to heart failure and, in more severe cases, the need for heart transplantation even in the first years of life. However, most people can take years without knowing that they have this problem, until the first symptoms of worsening.

This initiative is of great importance, not only for being the first time it's done so many of these interventions Incor in a single cycle, but also because of the technique being used is less invasive than surgery traditionally applied to these cases says Roberto Kalil Filho, director of the Division of Cardiology of the institution.

The interventional catheterization is now an option to surgical treatment, especially in patients from the age of five in the congenital atrial septal defect (ASD) characterized as a defect-shaped hole, is located in the central portion of the septum, the wall that separates the left and right atria of the heart. When there are other associated congenital malformations, correction CIA catheter can be used to complement other corrective surgical techniques, explains Pedro Lemos, director of the Office of Interventional Cardiology and the Incor task force coordinator.

Early diagnosis <b> </ b>

The Heart Institute is the largest center for treatment of congenital heart disease of high complexity in Brazil. Each year the institute performs about 800 surgeries of this type of correction, of which 15% of them CIA. It is important that the diagnosis be made as soon as possible, because that way, the doctor can plan the best time and type of treatment for each patient, the cardiologist explains Edmar Atik, director of the Clinical Unit Cardiopediatrics and Congenital Incor.

The diagnosis of ASD includes clinical evaluation for detection of heart murmurs - usually auscultated by a pediatrician - or even combined with symptoms of fatigue due to effort, predisposition to respiratory infections and repeated failure to gain weight, among the principal.

The transthoracic and transesophageal echocardiogram confirmed, respectively, the diagnosis and the details of the anatomy of the defect in the septum, in order to establish the best tactic treatment, whether surgical or catheterization.

   Palavras-chave:   Cardiac malformation    Incor    Implant    Prosthesis    São Paulo    Clinical Hospital    Faculty of Medicine    USP    Universidade de São Paulo   
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cardiac malformation    Incor    implant    prosthesis    São Paulo    Clinical Hospital    Faculty of Medicine    USP    Universidade de São Paulo   
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