{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T10:20:27Z","timestamp":1698661227151},"reference-count":20,"publisher":"Akademiai Kiado Zrt.","issue":"37","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,9,1]]},"abstract":"<jats:p>A feln\u0151ttkorban oper\u00e1lt velesz\u00fcletett sz\u00edvhib\u00e1k k\u00f6z\u00f6tt vezetnek az \n <jats:italic>I. rekonstrukci\u00f3s<\/jats:italic>\n beavatkoz\u00e1sok: \n <jats:italic>a) frissen felismert<\/jats:italic>\n betegs\u00e9gek, \n <jats:italic>b) megel\u0151z\u0151en inoper\u00e1bilisnak<\/jats:italic>\n \u00edt\u00e9lt k\u00f3rk\u00e9pek, \n <jats:italic>c)<\/jats:italic>\n pulmonalis hypertonia, jobbkamra-el\u00e9gtelens\u00e9g miatt \n <jats:italic>\u201eelk\u00e9sett\u201d<\/jats:italic>\n m\u0171t\u00e9tek. N\u00f6vekszik a \n <jats:italic>II. REDO<\/jats:italic>\n m\u0171t\u00e9tek sz\u00e1ma: \n <jats:italic>a) residuumok<\/jats:italic>\n korrig\u00e1l\u00e1sa, \n <jats:italic>b)<\/jats:italic>\n kin\u0151tt, diszfunkci\u00f3s \n <jats:italic>homograftok<\/jats:italic>\n cser\u00e9je, \n <jats:italic>c)<\/jats:italic>\n m\u0171t\u00e9ti\/intervenci\u00f3s korrig\u00e1l\u00e1s ut\u00e1ni \n <jats:italic>recoarctatio<\/jats:italic>\n (aneurysma, dissectio) seb\u00e9szete, \n <jats:italic>d)<\/jats:italic>\n aorta valvulotomia\/valvuloplastica, illetve t\u00e1rsvitiumok (TGA) korrig\u00e1l\u00e1s\u00e1nak k\u00f6vetkezm\u00e9nyek\u00e9nt \n <jats:italic>Ross-m\u0171t\u00e9t, m\u0171billenty\u0171-be\u00fcltet\u00e9s<\/jats:italic>\n . \n <jats:italic>Betegek, eredm\u00e9nyek:<\/jats:italic>\n A 2001\u20132008 k\u00f6z\u00f6tt v\u00e9gzett 4496 m\u0171t\u00e9t k\u00f6z\u00fcl 166 volt fiatal-feln\u0151tt kor\u00fa (16\u201352, \u00e1tlag\u00e9letkor: 28 \u00e9v) (Ia: 77, Ib: 15, Ic: 4, IIa: 11, IIb: 22, IIc: 9, IId: 28). M\u0171t\u00e9ti mortalit\u00e1s nem volt, 1 beteg pulmonalis hypertoni\u00e1s kr\u00edzisben, 1 jobbkamra-el\u00e9gtelens\u00e9g miatti malignus ritmuszavarban, 2 t\u00f6bbszerv-el\u00e9gtelens\u00e9gben halt meg. \n <jats:italic>Konkl\u00fazi\u00f3:<\/jats:italic>\n A rizik\u00f3faktorokat a pulmonalis hypertonia \u00e9s a jobbkamra-el\u00e9gtelens\u00e9g jelenti. A bonyolult seb\u00e9szi megold\u00e1sok a \u201econgenitalis sz\u00edvseb\u00e9sz\u201d sz\u00e1m\u00e1ra nem jelentenek probl\u00e9m\u00e1t, de koraibb diagn\u00f3zisok, ter\u00e1pi\u00e1ban az extracorporalis membr\u00e1noxigen\u00e1tor haszn\u00e1lata az eredm\u00e9nyeket jav\u00edthatja.<\/jats:p>","DOI":"10.1556\/oh.2009.28683","type":"journal-article","created":{"date-parts":[[2009,9,5]],"date-time":"2009-09-05T01:02:58Z","timestamp":1252112578000},"page":"1739-1743","source":"Crossref","is-referenced-by-count":4,"title":["Surgical management of congenital heart defects in adolescent and adult patients, between years 2001\u20132008"],"prefix":"10.1556","volume":"150","author":[{"given":"Istv\u00e1n","family":"Harty\u00e1nszky","sequence":"first","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Sz\u00e9kely","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Kir\u00e1ly","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Prod\u00e1n","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e1ndor","family":"Mih\u00e1lyi","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Bodor","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Tam\u00e1s","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imre","family":"Kassai","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Levente","family":"Fazakas","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Temesv\u00e1ri","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Szatm\u00e1ri","sequence":"additional","affiliation":[{"name":"1 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.jacc.2005.08.074","volume":"47","year":"2006","journal-title":"J. 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