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L C Souza

Publications and source records attributed to L C Souza.

36 records · Page 2Linked to original sources

Anatomic correction of transposition of the great vessels.

We present a new approach for anatomic correction of transposition of the great arteries. The two coronary arteries, with a piece of the aortic wall attached, are transposed to the posterior artery. The two aortic openings are closed with a patch. The aorta and pulmonary artery are transected, contraposed, ant then anastomosed. The interventricular septal defect is closed with a patch, through a right ventriculotomy approach, because the right ventricle is no longer part of the systemic circulation. Two patients, aged 3 months and 40 days weighing 4,200 and 3,700 grams, respectively, were operated upon with deep hypothermia and total circulatory arrest. There was good recovery from the operation, with normal cardiocirculatory conditions. Renal failure developed in the first patient, and she died on the third postoperative day. During this time the cardiocirculatory conditions were good. The second patient made an uneventful recovery. Hemodynamic studies 20 days after the operation showed complete correction of the malformation. Five and one-half months after the operation, he weighs 7,500 grams, and his development is very good. We believe that this operation will be reproducible by most cardiovascular septal defect and pulmonary hypertension.

Cardiac Catheterization↗

[Not Available].

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Brazil↗

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Brazil↗

[Early diagnosis of childhood deafness and therapeutic workup].

The aim of this paper is to emphasize the importance of hearing as the main component of human communication, the identification of the risk group for hearing deficiencies and the role of brainstem evoked auditory potentials as an early detection method, which is essential for starting both medical and educational intervention in order to optimize the child's communication development and social abilities. The author presents a case report of a severe hearing loss patient whose diagnosis was done on his first day of life.

English Abstract↗