Barkov Ivan, doctor cardiac surgeon of the Children\'s Department of the FSBE « The federal center of cardiovascular surgery» of the Russian Ministry of Health. Astrakhan.rnEducation:rnGraduated from medical university in 2007,гesidency in cardiovascular surgery 2009-2011.rnSince 2011 the doctor is a cardiosurgeon.rnThe spectrum of interests is pediatric cardiosurgery, minimally invasive methods of correction congenital heart diseases. rnStudy:rnSince 2016 the participant of research perventricular closing defect of interventricular septum, data base more than 100 operations.rnPrepared a report with video: periventricular closure in children before one year.rn
Purpose: To present results of perventricular closing of defects of an interventricular partition with occluder of various types in pediatric group.rnMaterials and methods: In the department of surgery of congenital heart diseases of the federal center of cardiovascular surgery Astrakhan from 2014 to 2017 were operated 50 patients with VSD with use of a method of perventricular closing of defect without use of artificial blood circulation under control of TEE ECHO. Age of patients - from 2,1 to 11.8 months ±8,6. Body weight - from 3,9 to 9,8, kg.±8,4. Defects size from 4,5 to 8,5 mm, localization: the subaortal – 17(34%) cases, in aneurism – 10(20%) cases, subtrikuspidal – 16 (32%) cases, muscular-7(14%) cases. The Qp/Qs index from 1,6 to 2,5. Size of occluder: from 5 to 9 mm. CHF of patients of the I-IIb FC on NYHA.rnResults: Successful closing of VSD is reached in 94%. Duration of procedure was from 29 to 68 min. (on average 40 min.).Were used occluders SQFDQ II(symmetric) - 32 (64%), SQFDQ IV (asymmetric) -11 (22%), SQFDQ I(muscular)-7 (14%). Frequency of conversion - 3 (6%) it is connected with underestimation of the sizes and localizations of defect. Blood loss 0,6-4,3 ml/kg ±1,1. Intraoperative the ECHO the shunt from 1 to 2 mm at 12 patients (24%), freedom from shunts in 3 months of-90%, the tricuspid, aortic and mitral regurgitation didn\'t exceed 0-1 degrees. Mean duration of mechanical ventilation was 238,6±160,5 min. Mean hospital stay was 6,73±2 days. Cardiotonics applied 4 patients whith pulmonary hipertezion . There were no intraoperative rhythm disorders. One patient has late complete atrioventricular block two month after operation with implanted pacemaker. rnConclusions: The technology of perventricular closing of VSD provides good cosmetic effect, fast rehabilitation of patients, takes a certain place in surgical treatment of VSD along with traditional techniques (with use of artificial circulation, transkateter closure).rn Keywords: congenital heart diseases, defect of interventricular septum, perventricular closing.rn
Rose Chinly Mae Ortega is a graduate of Bachelor of Science in Biology (2016) in Mindanao State University-Iligan Institute of Technology in the Philippines. She is now a full-time Masters in Biology (Advanced) student of the same institution under the scholarship of the Department of Science and Technology-ASTHRDP. As a young fellow, she is interested and working on physical examination on early detection of Cardiovascular diseases of any parts of a human body using Geometric Morphometric Analysis. Other field of interest includes Metagenomic Analysis on microbial flora on internal and external organs.
Facial investigations using geometric morphometrics has been used in many studies to affirm that a particular disease can attribute to an individual’s facial morphology. A landmark based geometric morphometric analysis was used in this study to asses if facial shape changes is associated with cardiovascular diseases (CVD) and if facial morphology of the CVD individuals differ from the normal ones. In the Municipality of Cantilan, Surigao del Sur, frontal face images taken from 32 cardiovascular disease patients and 32 normal individuals were examined using forty-one manually positioned landmarks. Result showed that facial morphology of the CVD group differ from non-CVD group. Procrustes ANOVA showed significant values for the individual symmetry and directional asymmetry. The analysis of structure by the Principal Components reveals particular variations and the scatter plot of the residual asymmetry shows distinct differences between CVD and non-CVD. Therefore, cardiovascular diseases contributes to facial shape changes and that development of facial morphology differ between CVD and non-CVD group.