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Oliveira GMMD, Almeida MCCD, Rassi DDC, Bragança ÉOV, Moura LZ, Arrais M, Campos MDSB, Lemke VG, Avila WS, Lucena AJGD, Almeida ALCD, Brandão AA, Ferreira ADDA, Biolo A, Macedo AVS, Falcão BDAA, Polanczyk CA, Lantieri CJB, Marques-Santos C, Freire CMV, Pellegrini D, Alexandre ERG, Braga FGM, Oliveira FMFD, Cintra FD, Costa IBSDS, Silva JSN, Carreira LTF, Magalhães LBNC, Matos LDNJD, Assad MHV, Barbosa MM, Silva MGD, Rivera MAM, Izar MCDO, Costa MENC, Paiva MSMDO, Castro MLD, Uellendahl M, Oliveira Junior MTD, Souza OFD, Costa RAD, Coutinho RQ, Silva SCTFD, Martins SM, Brandão SCS, Buglia S, Barbosa TMJDU, Nascimento TAD, Vieira T, Campagnucci VP, Chagas ACP. Position Statement on Ischemic Heart Disease - Women-Centered Health Care - 2023. Arq Bras Cardiol 2023; 120:e20230303. [PMID: 37556656 PMCID: PMC10382148 DOI: 10.36660/abc.20230303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2023] Open
Affiliation(s)
| | | | | | | | | | | | | | | | - Walkiria Samuel Avila
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP - Brasil
| | | | | | | | | | - Andreia Biolo
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS - Brasil
| | | | | | | | | | - Celi Marques-Santos
- Universidade Tiradentes (UNIT), Aracaju, SE - Brasil
- Hospital São Lucas Rede D'Or São Luis, Aracaju, SE - Brasil
| | | | - Denise Pellegrini
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS - Brasil
| | | | - Fabiana Goulart Marcondes Braga
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP - Brasil
| | | | | | | | | | - Lara Terra F Carreira
- Cardiologia Nuclear de Curitiba, Curitiba, PR - Brasil
- Hospital Pilar, Curitiba, PR - Brasil
| | | | | | | | | | | | | | | | | | | | | | - Marly Uellendahl
- Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil
- DASA - Diagnósticos da América S/A, São Paulo, SP - Brasil
| | - Mucio Tavares de Oliveira Junior
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP - Brasil
| | | | | | - Ricardo Quental Coutinho
- Faculdade de Ciências Médicas da Universidade de Pernambuco (UPE), Recife, PE - Brasil
- Hospital Universitário Osvaldo Cruz da Universidade de Pernambuco (UPE), Recife, PE - Brasil
| | | | - Sílvia Marinho Martins
- Pronto Socorro Cardiológico de Pernambuco da Universidade de Pernambuco (PROCAPE/UPE), Recife, PE - Brasil
| | | | - Susimeire Buglia
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP - Brasil
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | | | | | - Thais Vieira
- Universidade Tiradentes (UNIT), Aracaju, SE - Brasil
- Rede D'Or, Aracaju, SE - Brasil
- Hospital Universitário da Universidade Federal de Sergipe (UFS), Aracaju, SE - Brasil
| | | | - Antonio Carlos Palandri Chagas
- Instituto do Coração (Incor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP - Brasil
- Centro Universitário Faculdade de Medicina ABC, Santo André, SP - Brasil
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Mejia OAV, Borgomoni GB, Lima EG, Guerreiro GP, Dallan LR, de Barros E Silva P, Nakazone MA, Junior OP, Gomes WJ, de Oliveira MAP, Sousa A, Campagnucci VP, Tiveron MG, Rodrigues AJ, Tineli RÂ, Rocha E Silva R, Lisboa LAF, Jatene FB. Most deaths in low-risk cardiac surgery could be avoidable. Sci Rep 2021; 11:1045. [PMID: 33441748 PMCID: PMC7806717 DOI: 10.1038/s41598-020-80175-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/14/2020] [Indexed: 01/09/2023] Open
Abstract
It is observed that death rates in cardiac surgery has decreased, however, root causes that behave like triggers of potentially avoidable deaths (AD), especially in low-risk patients (less bias) are often unknown and underexplored, Phase of Care Mortality Analysis (POCMA) can be a valuable tool to identify seminal events (SE), providing valuable information where it is possible to make improvements in the quality and safety of future procedures. Our results show that in São Paul State, only one third of AD in low-risk cardiac surgery was related to specific surgical problems. After a revisited analysis, 75% of deaths could have been avoided, which in the pre-operative phase, the SE was related judgment, patient evaluation and preparation. In the intra-operative phase, most occurrences could have been avoided if other surgical technique had been used. Sepsis was responsible for 75% of AD in the intensive care unit. In the ward phase, the recognition/management of clinical decompensations and sepsis were the contributing factors. Logistic regression model identified age, previous coronary stent implantation, coronary artery bypass grafting + heart valve surgery, ≥ 2 combined heart valve surgery and hospital-acquired infection as independent predictors of AD.
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Affiliation(s)
- Omar Asdrúbal Vilca Mejia
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil. .,Department of Cardiovascular Surgery, Hospital Samaritano Paulista, São Paulo, São Paulo, Brazil.
| | - Gabrielle Barbosa Borgomoni
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil
| | - Eduardo Gomes Lima
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil
| | - Gustavo Pampolha Guerreiro
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil
| | - Luís Roberto Dallan
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil
| | - Pedro de Barros E Silva
- Department of Cardiovascular Surgery, Hospital Samaritano Paulista, São Paulo, São Paulo, Brazil
| | - Marcelo Arruda Nakazone
- Department of Cardiovascular Surgery, Hospital De Base de São José do Rio Preto, São José de Rio Preto, São Paulo, Brazil
| | - Orlando Petrucci Junior
- Department of Cardiovascular Surgery, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil
| | - Walter José Gomes
- Department of Cardiovascular Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil
| | | | - Alexandre Sousa
- Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, São Paulo, São Paulo, Brazil
| | - Valquíria Pelisser Campagnucci
- Department of Cardiovascular Surgery, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, São Paulo, Brazil
| | - Marcos Gradim Tiveron
- Department of Cardiovascular Surgery, Irmandade da Santa Casa de Misericórdia de Marília, Marília, São Paulo, Brazil
| | - Alfredo José Rodrigues
- Departament of Cardiovascular Surgery, Universidade de São Paulo Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, São Paulo, Brazil
| | - Rafael Ângelo Tineli
- Department of Cardiovascular Surgery, Irmandade da Santa Casa de Misericórdia de Piracicaba, Piracicaba, São Paulo, Brazil
| | - Roberto Rocha E Silva
- Department of Cardiovascular Surgery, Hospital Paulo Sacramento, Jundiaí, São Paulo, Brazil
| | - Luiz Augusto Ferreira Lisboa
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil
| | - Fabio Biscegli Jatene
- Department of Cardiovascular Surgery, Universidade de São Paulo Instituto do Coração (INCOR), São Paulo, São Paulo, Brazil
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Orlandi BMM, Mejia OAV, Borgomoni GB, Goncharov M, Rocha KN, Bassolli L, Melo de Barros e Silva PG, Nakazone MA, Sousa A, Campagnucci VP, de Sousa Vilarinho KA, Katz M, Tiveron MG, Arrais dos Santos M, Lisboa LAF, Dallan LADO, Jatene FB. REPLICCAR II Study: Data quality audit in the Paulista Cardiovascular Surgery Registry. PLoS One 2020; 15:e0223343. [PMID: 32649718 PMCID: PMC7351197 DOI: 10.1371/journal.pone.0223343] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Accepted: 06/07/2020] [Indexed: 01/29/2023] Open
Abstract
The quality of data in electronic healthcare databases is a critical component when used for research and health practice. The aim of the present study was to assess the data quality in the Paulista Cardiovascular Surgery Registry II (REPLICCAR II) using two different audit methods, direct and indirect. The REPLICCAR II database contains data from 9 hospitals in São Paulo State with over 700 variables for 2229 surgical patients. The data collection was performed in REDCap platform using trained data managers to abstract information. We directly audited a random sample (n = 107) of the data collected after 6 months and indirectly audited the entire sample after 1 year of data collection. The indirect audit was performed using the data management tools in REDCap platform. We computed a modified Aggregate Data Quality Score (ADQ) previously reported by Salati et al. (2015). The agreement between data elements was good for categorical data (Cohen κ = 0.7, 95%CI = 0.59–0.83). For continuous data, the intraclass coefficient (ICC) for only 2 out of 15 continuous variables had an ICC < 0.9. In the indirect audit, 77% of the selected variables (n = 23) had a good ADQ score for completeness and accuracy. Data entry in the REPLICCAR II database proved to be satisfactory and showed competence and reliable data for research in cardiovascular surgery in Brazil.
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Affiliation(s)
- Bianca Maria Maglia Orlandi
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | - Omar Asdrúbal Vilca Mejia
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
- * E-mail:
| | - Gabrielle Barbosa Borgomoni
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | - Maxim Goncharov
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | - Kenji Nakahara Rocha
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | - Lucas Bassolli
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | | | - Marcelo Arruda Nakazone
- Department of Cardiovascular Surgery, Hospital De Base de São José do Rio Preto, São José de Rio Preto, São Paulo, Brazil
| | - Alexandre Sousa
- Department of Cardiovascular Surgery, Beneficência Portuguesa de São Paulo, São Paulo, São Paulo, Brazil
| | - Valquíria Pelisser Campagnucci
- Department of Cardiovascular Surgery, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, São Paulo, Brazil
| | | | - Marcelo Katz
- Department of Cardiovascular Surgery, Hospital Israelita Albert Einsten, São Paulo, São Paulo, Brazil
| | - Marcos Gradim Tiveron
- Department of Cardiovascular Surgery, Irmandade da Santa Casa de Misericórdia de Marília, Marília, São Paulo, Brazil
| | - Magaly Arrais dos Santos
- Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia, São Paulo, São Paulo, Brazil
| | - Luiz Augusto Ferreira Lisboa
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | - Luis Alberto de Oliveira Dallan
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
| | - Fábio Biscegli Jatene
- Department of Cardiovascular Surgery, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina do Estado de São Paulo (INCOR), São Paulo, São Paulo, Brazil
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Paez RP, Hossne Junior NA, Santo JADE, Berwanger O, Santos RHN, Kalil RAK, Jatene FB, Cavalcanti AB, Zilli AC, Bettiati LC, Figueira FAMDS, D'Azevedo SSP, Soares MJF, Fernandes MP, Ardito RV, Bogdan RAB, Campagnucci VP, Nakasako D, Rodrigues CG, Rodrigues Junior AB, Cascudo MM, Atik FA, Lima EB, Nina VJDS, Heluy RA, Azeredo LG, Henrique Junior OS, Mendonça JTD, Silva KKDOG, Pandolfo M, Lima Júnior JDD, Faria RM, Santos JGD, Coelho GHB, Pereira SN, Senger R, Buffolo E, Caputi GM, Oliveira JABD, Gomes WJ. Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry. Braz J Cardiovasc Surg 2019; 34:142-148. [PMID: 30916123 PMCID: PMC6436784 DOI: 10.21470/1678-9741-2018-0313] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Accepted: 01/27/2019] [Indexed: 11/30/2022] Open
Abstract
Introduction Coronary artery bypass grafting (CABG) is the most frequently performed heart
surgery in Brazil. Recent international guidelines recommend that national
societies establish a database on the practice and results of CABG. In
anticipation of the recommendation, the BYPASS Registry was introduced in
2015. Objective To analyze the profile, risk factors and outcomes of patients undergoing CABG
in Brazil, as well as to examine the predominant surgical strategy, based on
the data included in the BYPASS Registry. Methods A cross-sectional study of 2292 patients undergoing CABG surgery and
cataloged in the BYPASS Registry up to November 2018. Demographic data,
clinical presentation, operative variables, and postoperative hospital
outcomes were analyzed. Results Patients referred to CABG in Brazil are predominantly male (71%), with prior
myocardial infarction in 41.1% of cases, diabetes in 42.5%, and ejection
fraction lower than 40% in 9.7%. The Heart Team indicated surgery in 32.9%
of the cases. Most of the patients underwent cardiopulmonary bypass (87%),
and cardioplegia was the strategy of myocardial protection chosen in 95.2%
of the cases. The left internal thoracic artery was used as a graft in 91%
of the cases; the right internal thoracic artery, in 5.6%; and the radial
artery in 1.1%. The saphenous vein graft was used in 84.1% of the patients,
being the only graft employed in 7.7% of the patients. The median number of
coronary vessels treated was 3. Operative mortality was 2.8%, and the
incidence of cerebrovascular accident was 1.2%. Conclusion CABG data in Brazil provided by the BYPASS Registry analysis are
representative of our national reality and practice. This database
constitutes an important reference for indications and comparisons of
therapeutic procedures, as well as to propose subsequent models to improve
patient safety and the quality of surgical practice in the country.
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Affiliation(s)
- Rodrigo Pereira Paez
- Hospital São Paulo, Escola Paulista de Medicina da Universidade Federal de São Paulo, (EPM - UNIFESP), São Paulo, SP, Brazil
| | - Nelson Américo Hossne Junior
- Hospital São Paulo, Escola Paulista de Medicina da Universidade Federal de São Paulo, (EPM - UNIFESP), São Paulo, SP, Brazil
| | | | - Otavio Berwanger
- Instituto de Pesquisa do Hospital do Coração (IP - HCor), São Paulo, SP, Brazil
| | | | - Renato Abdala Karam Kalil
- Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Fabio B Jatene
- Cardiovascular Surgery Division, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil
| | | | | | | | | | | | | | | | - Roberto Vito Ardito
- Instituto de Moléstias Cardiovasculares (IMC), São José do Rio Preto, SP, Brazil
| | | | - Valquíria Pelisser Campagnucci
- Irmandade da Santa Casa de São Paulo (INCT-HPV/Faculdade de Ciências Médicas da Santa Casa de São Paulo), São Paulo, SP, Brazil
| | - Diana Nakasako
- Irmandade da Santa Casa de São Paulo (INCT-HPV/Faculdade de Ciências Médicas da Santa Casa de São Paulo), São Paulo, SP, Brazil
| | - Clarissa Garcia Rodrigues
- Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | | | | | | | | | | | | | | | | | | | | | - Marcelo Pandolfo
- Instituto de Cirurgia Cardiovascular (ICCV)/Hospital Nossa Senhora da Salete, Cascavel, PR, Brazil
| | | | | | | | | | | | - Roberta Senger
- Hospital Universitário de Santa Maria, Santa Maria, RS, Brazil
| | - Enio Buffolo
- Hospital do Coração (HCor), São Paulo, SP, Brazil
| | | | | | - Walter J Gomes
- Hospital São Paulo, Escola Paulista de Medicina da Universidade Federal de São Paulo, (EPM - UNIFESP), São Paulo, SP, Brazil
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Gomes WJ, Moreira RS, Zilli AC, Bettiati LC, Figueira FAMDS, D' Azevedo SSP, Soares MJF, Fernandes MP, Ardito RV, Bogdan RAB, Campagnucci VP, Nakasako D, Kalil RAK, Rodrigues CG, Rodrigues AB, Cascudo MM, Atik FA, Lima EB, Nina VJDS, Heluy RA, Azeredo LG, Henrique OS, Mendonça JTD, Silva KKDOG, Pandolfo M, Lima JDD, Faria RM, Santos JGD, Paez RP, Coelho GHB, Pereira SN, Senger R, Buffolo E, Caputi GM, Santo JADE, Oliveira JABD, Berwanger O, Cavalcanti AB, Jatene FB. The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients. Braz J Cardiovasc Surg 2017; 32:71-76. [PMID: 28492786 PMCID: PMC5409255 DOI: 10.21470/1678-9741-2017-0053] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Accepted: 02/27/2017] [Indexed: 11/04/2022] Open
Abstract
Objective To report the early results of the BYPASS project - the Brazilian registrY of
adult Patient undergoing cArdiovaScular Surgery - a national, observational,
prospective, and longitudinal follow-up registry, aiming to chart a profile
of patients undergoing cardiovascular surgery in Brazil, assessing the data
harvested from the initial 1,722 patients. Methods Data collection involved institutions throughout the whole country,
comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3),
and Center-West (1). The study population consists of patients over 18 years
of age, and the types of operations recorded were: coronary artery bypass
graft (CABG), mitral valve, aortic valve (either conventional or
transcatheter), surgical correction of atrial fibrillation, cardiac
transplantation, mechanical circulatory support and congenital heart
diseases in adults. Results 83.1% of patients came from the public health system (SUS), 9.6% from the
supplemental (private insurance) healthcare systems; and 7.3% from private
(out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics,
46% had dyslipidemia, 28% previously sustained a myocardial infarction, and
9.4% underwent prior cardiovascular surgery. Patients underwent coronary
artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated
or combined. The overall postoperative mortality up to the 7th
postoperative day was 4%; for CABG was 2.6%, and for valve operations,
4.4%. Conclusion This first report outlines the consecution of the Brazilian surgical cardiac
database, intended to serve primarily as a tool for providing information
for clinical improvement and patient safety and constitute a basis for
production of research protocols.
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Affiliation(s)
- Walter J Gomes
- Hospital São Paulo - Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, SP, Brazil
| | - Rita Simone Moreira
- Hospital São Paulo - Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, SP, Brazil
| | | | | | | | | | | | | | - Roberto Vito Ardito
- Instituto de Moléstias Cardiovasculares (IMC), São José do Rio Preto, SP, Brazil
| | | | - Valquíria Pelisser Campagnucci
- Irmandade da Santa Casa de São Paulo (INCT-HPV/Faculdade de Ciências Médicas da Santa Casa de São Paulo), São Paulo, SP, Brazil
| | - Diana Nakasako
- Irmandade da Santa Casa de São Paulo (INCT-HPV/Faculdade de Ciências Médicas da Santa Casa de São Paulo), São Paulo, SP, Brazil
| | - Renato Abdala Karam Kalil
- Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | - Clarissa Garcia Rodrigues
- Instituto de Cardiologia do Rio Grande do Sul - Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil
| | | | | | | | | | | | | | | | | | | | | | - Marcelo Pandolfo
- Instituto de Cirurgia Cardiovascular (ICCV)/Hospital Nossa Senhora da Salete, Cascavel, PR, Brazil
| | - José Dantas de Lima
- Instituto de Cirurgia Cardiovascular (ICCV)/Hospital Nossa Senhora da Salete, Cascavel, PR, Brazil
| | | | | | | | | | | | - Roberta Senger
- Hospital Universitário de Santa Maria, Santa Maria, RS, Brazil
| | - Enio Buffolo
- Hospital Universitário de Santa Maria, Santa Maria, RS, Brazil
| | | | | | | | - Otavio Berwanger
- Instituto de Pesquisa do Hospital do Coração (IP - HCor), São Paulo, SP, Brazil
| | | | - Fabio B Jatene
- Instituto de Pesquisa do Hospital do Coração (IP - HCor), São Paulo, SP, Brazil
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Cavalcanti AB, Bozza FA, Machado FR, Salluh JIF, Campagnucci VP, Vendramim P, Guimarães HP, Normílio-Silva K, Chiattone VC, Damiani LP, Romano ER, Carrara F, Lubarino J, Silva AR, Viana G, Teixeira C, Silva NB, Chang CCH, Angus DC, Berwanger O. A Cluster Randomised Trial of a Multifaceted Quality Improvement Intervention in Brazilian Intensive Care Units. Intensive Care Med Exp 2015. [PMCID: PMC4798127 DOI: 10.1186/2197-425x-3-s1-a24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Campagnucci VP, Pinto E Silva AMR, Catani LH, Rivetti LA. Recurrent giant left ventricular aneurysm of tuberculous etiology in a child: case report. Heart Surg Forum 2012; 15:E318-9. [PMID: 23262049 DOI: 10.1532/hsf98.20121030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We report a case of myocardial tuberculosis in a 10-year-old girl, diagnosed after recurrence of left ventricular aneurysm, treated surgically.
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Affiliation(s)
- V P Campagnucci
- Faculty of Medical Sciences, Santa Casa de São Paulo, São Paulo, Brazil.
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8
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Campagnucci VP, Pinto e Silva AMR, Pereira WL, Chamlian EG, Gandra SMDA, Rivetti LA. EuroSCORE e os pacientes submetidos a revascularização do miocárdio na Santa Casa de São Paulo. Braz J Cardiovasc Surg 2008; 23:262-7. [DOI: 10.1590/s0102-76382008000200017] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2007] [Accepted: 02/18/2008] [Indexed: 11/22/2022] Open
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9
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Campagnucci VP, Rivetti LA, Pinto e Silva AMR, Gandra SMDA, Pereira WL. Aneurismectomia de ventrículo esquerdo com o coração batendo ininterruptamente: resultados imediatos. Braz J Cardiovasc Surg 2006. [DOI: 10.1590/s0102-76382006000100011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Campagnucci VP, Suzuki HY, Franken RA, Rivetti LA. [Thrombolytic therapy in thrombosis of prosthesis]. Arq Bras Cardiol 1994; 63:35-8. [PMID: 7857210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
PURPOSE To relate our experience with thrombolytic therapy in 8 patients with cardiac metal prosthesis complicated with thrombosis. METHODS Eight patients with clinical and echocardiographic diagnosis of cardiac valvar prosthesis thrombosis were treated. RESULTS The treatment efficacy was evaluated by clinical and echocardiographic improvement. The authors recognized improvement in all 8 patients. One case of hemorrhage was observed (coxo-femoral articulation). Late death were observed twice: 24 months after, sudden death and 30 months later by hemorrhagic stroke. CONCLUSION The results indicated that thrombolytic therapy is best way to treat patients with cardiac valve thrombosis, instead of surgical treatment.
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Affiliation(s)
- V P Campagnucci
- Faculdade de Ciências Médicas da Santa Casa de Misericórdia de São Paulo
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11
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Gandra SM, Rivetti LA, Pinto AM, Marinelli I, Campagnucci VP, Franken RA. [Mitral valve replacement with porcine bioprosthesis in children. Evaluation of 29 patients during 12 years]. Arq Bras Cardiol 1992; 58:101-5. [PMID: 1307453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
PURPOSE To analyze the clinical result of the mitral valve substitution for the porcine bioprostheses, the incidence of dysfunction caused by calcification and its importance related to the durability of bioprostheses and also the patients' survival. METHODS Twenty-nine children of about seven to sixteen years old were operated on from November 1977 to August 1982 and all of them received porcine bioprostheses of low profile. RESULTS There were three (10.34%) hospital deaths and nine other late mortalities. The follow-up period varied from 4 to 128 months with average of 58.17 months and with the loss of nine patients. An actuarial survival rate of 46.08% has been observed at 11 years after surgery. Calcification of 21 bioprostheses occurred in 14 out of 17 follow-up patients; 47.6% of them happened until the third year of pos-operative and 85.7% until the fifth year. Eleven patients were reoperated on with 9.09% of hospital mortality. There were no cases of thromboembolism. CONCLUSION Porcine bioprostheses works well with an evident clinical improvement of patients, with no thromboembolic accidents. However, its durability has been affected by the high incidence of calcification, which is responsible for an increase in late morbidity and mortality. Mitral valve disease treatment in children must be conservative, in an attempt to solve the problem with the different available plastic technics and leave the valve substitution to be a last option. In that case, the preference is given to the homologous bioprostheses.
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Affiliation(s)
- S M Gandra
- Hospital da Santa Casa de Misericórdia de São Paulo e Hospital Samaritano
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