{"id":669,"date":"2023-02-12T16:26:16","date_gmt":"2023-02-12T19:26:16","guid":{"rendered":"https:\/\/starthis.com.br\/drlucas\/?page_id=669"},"modified":"2023-03-01T11:07:34","modified_gmt":"2023-03-01T14:07:34","slug":"cardiopatias-congenitas","status":"publish","type":"page","link":"https:\/\/starthis.com.br\/drlucas\/cardiopatias-congenitas\/","title":{"rendered":"CARDIOPATIAS CONG\u00caNITAS"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"669\" class=\"elementor elementor-669\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1bb00d5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1bb00d5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f4152bd\" data-id=\"f4152bd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5abd076 elementor-widget elementor-widget-heading\" data-id=\"5abd076\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.8 - 02-10-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Cardiopatias Cong\u00eanitas<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-289c31c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"289c31c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1012d28\" data-id=\"1012d28\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a77ceb elementor-widget elementor-widget-text-editor\" data-id=\"7a77ceb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.8 - 02-10-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><strong>As cardiopatias cong\u00eanitas est\u00e3o aqui\u00a0 apresentadas de forma isolada. Mas infelizmente n\u00e3o \u00e9 raro a combina\u00e7\u00e3o delas em um paciente. De toda forma, esta p\u00e1gina tem como proposta uma explica\u00e7\u00e3o geral sobre as doen\u00e7as do cora\u00e7\u00e3o que se apresentam desde o nascimento. A leitura deste conte\u00fado n\u00e3o substitui uma consulta com cardiologista pedi\u00e1trico.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7f951a7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f951a7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4f8d5d7\" data-id=\"4f8d5d7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5bdedd9 elementor-widget elementor-widget-heading\" data-id=\"5bdedd9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comunica\u00e7\u00e3o Interatrial tipo Ostium Secundum (CIA OS)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c23933f elementor-widget elementor-widget-text-editor\" data-id=\"c23933f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tA comunica\u00e7\u00e3o interatrial acontece quando h\u00e1 alguma falha na forma\u00e7\u00e3o da parede que separa os \u00e1trios.\nDif\u00edcil de ser diagnosticada durante o Ecocardiograma Fetal, \u00e9 facilmente diagnosticada na inf\u00e2ncia atrav\u00e9s do Ecocardiograma Transtor\u00e1cico\nEsta \u00e9 inicialmente uma doen\u00e7a de hiperfluxo pulmonar e n\u00e3o causa cianose. Os sintomas s\u00e3o proporcionais ao tamanho da comunica\u00e7\u00e3o. Pode levar a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, sudorese intensa, dificuldade de ganho de peso e sopro a partir da 2\u00aa semana de vida.\nUma vez que n\u00e3o h\u00e1 cianose, nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros, n\u00e3o h\u00e1 altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todos os rec\u00e9m-nascidos antes da alta hospitalar.\nEm alguns pacientes a CIA pode fechar sozinha, entretanto, quando isto n\u00e3o acontece, o melhor tratamento (quando poss\u00edvel) \u00e9 via cateterismo.\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-965aa41 elementor-invisible\" data-id=\"965aa41\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51e8cf4 elementor-widget elementor-widget-image\" data-id=\"51e8cf4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.7.8 - 02-10-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"385\" height=\"322\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Comunicacao-Interatrial-e1677505697723.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Comunicacao-Interatrial-e1677505697723.png 385w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Comunicacao-Interatrial-e1677505697723-300x251.png 300w\" sizes=\"auto, (max-width: 385px) 100vw, 385px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a41e2a elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a41e2a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b41bf02 elementor-invisible\" data-id=\"b41bf02\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a8b4f5 elementor-widget elementor-widget-image\" data-id=\"4a8b4f5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"449\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIAs.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIAs.png 819w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIAs-300x168.png 300w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIAs-768x431.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-45df23b\" data-id=\"45df23b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-402d026 elementor-widget elementor-widget-heading\" data-id=\"402d026\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comunica\u00e7\u00e3o Interatrial tipo Ostium Primum  (CIA OP)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf4e028 elementor-widget elementor-widget-text-editor\" data-id=\"bf4e028\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Altera\u00e7\u00e3o na forma\u00e7\u00e3o da parede que separa os \u00e1trios, muitas vezes associada ao Defeito do Septo Atrioventricular.<\/p><p>Cardiopatia poss\u00edvel de ser diagnosticada durante a gesta\u00e7\u00e3o no Ecocardiograma Fetal e deve ser confirmada ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico.<\/p><p>Esta \u00e9 Inicialmente uma doen\u00e7a de hiperfluxo pulmonar e n\u00e3o causa cianose. Os sintomas s\u00e3o proporcionais ao tamanho da comunica\u00e7\u00e3o. Geralmente leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, aumento de sudorese, dificuldade de ganho de peso e sopro a partir da 2\u00aa semana de vida.<\/p><p>Como n\u00e3o h\u00e1 cianose nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros n\u00e3o h\u00e1 altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Nesta cardiopatia n\u00e3o ocorre fechamento espont\u00e2neo e \u00e9 preciso de cirurgia para resolu\u00e7\u00e3o.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ff8c83 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ff8c83\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c3f0bc3\" data-id=\"c3f0bc3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-74910e8 elementor-widget elementor-widget-heading\" data-id=\"74910e8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comunica\u00e7\u00e3o Interatrial tipo Seio Venoso<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3fae06 elementor-widget elementor-widget-jet-unfold\" data-id=\"c3fae06\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:127,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:127,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Altera\u00e7\u00e3o na forma\u00e7\u00e3o na parte superior da parede que separa os \u00e1trios, associada a Drenagem An\u00f4mala da Veia Pulmonar Superior Direita.<\/p><p>Dif\u00edcil de ser diagnosticada durante o Ecocardiograma Fetal. Geralmente o diagn\u00f3stico ocorre ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico.<\/p><p>Esta \u00e9 Inicialmente uma doen\u00e7a de hiperfluxo pulmonar e n\u00e3o causa cianose. Os sintomas s\u00e3o proporcionais ao tamanho da comunica\u00e7\u00e3o. Geralmente leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, aumento de sudorese, dificuldade de ganho de peso e sopro a partir da 2\u00aa semana de vida.<\/p><p>Como n\u00e3o h\u00e1 cianose nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros n\u00e3o h\u00e1 altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Nesta cardiopatia n\u00e3o ocorre fechamento espont\u00e2neo e \u00e9 preciso de cirurgia para resolu\u00e7\u00e3o<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0ad95ad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0ad95ad\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ee49fe1\" data-id=\"ee49fe1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-45a1e94 elementor-widget elementor-widget-heading\" data-id=\"45a1e94\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comunica\u00e7\u00e3o Interatrial tipo Seio Coron\u00e1rio<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07a6ed5 elementor-widget elementor-widget-jet-unfold\" data-id=\"07a6ed5\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:127,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:127,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Altera\u00e7\u00e3o na forma\u00e7\u00e3o da parede do vaso que traz o sangue das veias do cora\u00e7\u00e3o, muito associada a Veia Cava Superior Esquerda Persistente.<\/p><p>Dif\u00edcil de ser diagnosticada durante o Ecocardiograma Fetal. Geralmente o diagn\u00f3stico ocorre ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico.<\/p><p>Esta \u00e9 Inicialmente uma doen\u00e7a de hiperfluxo pulmonar e n\u00e3o causa cianose. Os sintomas s\u00e3o proporcionais ao tamanho da comunica\u00e7\u00e3o. Geralmente leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, aumento de sudorese, dificuldade de ganho de peso e sopro a partir da 2\u00aa semana de vida.<\/p><p>Como n\u00e3o h\u00e1 cianose nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros n\u00e3o h\u00e1 altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Nesta cardiopatia n\u00e3o ocorre fechamento espont\u00e2neo e \u00e9 preciso de cirurgia para resolu\u00e7\u00e3o.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-045a7e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"045a7e0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fbe37ff\" data-id=\"fbe37ff\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9b2d06c elementor-widget elementor-widget-heading\" data-id=\"9b2d06c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Forame Oval Patente (FOP)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc12c1b elementor-widget elementor-widget-text-editor\" data-id=\"bc12c1b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Comunica\u00e7\u00e3o fundamental durante a vida fetal que deve fechar ap\u00f3s o nascimento, entretanto em alguns rec\u00e9m-nascidos h\u00e1 falha na fixa\u00e7\u00e3o da l\u00e2mina do septo interatrial ap\u00f3s nascimento, permitindo fluxo sangu\u00edneo entre o \u00e1trio esquerdo e o \u00e1trio direito.<\/p><p>Em cerca de 25 a 30% da popula\u00e7\u00e3o adulta esse fechamento n\u00e3o ocorre.<\/p><p>Pode haver epis\u00f3dios curtos de cianose durante choro intenso, mas geralmente n\u00e3o h\u00e1 sintomas durante a inf\u00e2ncia e \u00e9 importante frisar que esta altera\u00e7\u00e3o n\u00e3o causa sopro.<\/p><p>Como n\u00e3o \u00e9 comum cianose, e quando ocorre geralmente \u00e9 muito r\u00e1pida, nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros n\u00e3o h\u00e1 altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Atualmente h\u00e1 estudos que sugerem discreto aumento de risco de acidente vascular cerebral (AVC) e incid\u00eancia de enxaqueca nos adultos.<\/p><p>Em poucos pacientes \u00e9 indicado o fechamento, que quando necess\u00e1rio deve ocorrer via cateterismo.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5efaccf elementor-invisible\" data-id=\"5efaccf\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-729a7f2 elementor-widget elementor-widget-image\" data-id=\"729a7f2\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"524\" height=\"460\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/FOP-e1677506696420.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/FOP-e1677506696420.png 524w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/FOP-e1677506696420-300x263.png 300w\" sizes=\"auto, (max-width: 524px) 100vw, 524px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e964be8 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e964be8\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-59a8b37 elementor-invisible\" data-id=\"59a8b37\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-464879e elementor-widget elementor-widget-image\" data-id=\"464879e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"667\" height=\"460\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIV1-e1677506802217.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIV1-e1677506802217.png 667w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/CIV1-e1677506802217-300x207.png 300w\" sizes=\"auto, (max-width: 667px) 100vw, 667px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6a24cee\" data-id=\"6a24cee\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e1a1d59 elementor-widget elementor-widget-heading\" data-id=\"e1a1d59\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comunica\u00e7\u00e3o Interventricular (CIV)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e38f9a elementor-widget elementor-widget-text-editor\" data-id=\"5e38f9a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Cardiopatia comum na qual h\u00e1 a forma\u00e7\u00e3o da parede que separa os ventr\u00edculos foi incompleta.<\/p><p>Muitas vezes pode ser diagnosticada durante o Ecocardiograma Fetal e confirmada ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico.<\/p><p>Esta \u00e9 inicialmente uma doen\u00e7a de hiperfluxo pulmonar e n\u00e3o causa cianose. Geralmente leva a cansa\u00e7o, sudorese intensa, infec\u00e7\u00f5es respirat\u00f3rias frequentes e dificuldade de ganho de peso. Causa sopro que pode estar presente a partir do nascimento e se intensifica depois da 2\u00aa semana de vida.<\/p><p>Na maioria dos pacientes n\u00e3o h\u00e1 cianose nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros n\u00e3o ocorre altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Algumas vezes pode ocorrer oclus\u00e3o espont\u00e2nea, mas n\u00e3o \u00e9 rara a necessidade de procedimento (cirurgia ou cateterismo) para o fechamento. Dependendo da posi\u00e7\u00e3o da comunica\u00e7\u00e3o e do mecanismo de fechamento, mesmo ap\u00f3s este acontecer, pode haver necessidade de avalia\u00e7\u00e3o e cirurgia.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7cc1fb7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7cc1fb7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4691052\" data-id=\"4691052\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e9f7431 elementor-widget elementor-widget-heading\" data-id=\"e9f7431\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Defeito do Septo Atrioventricular (DSAV)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31771e6 elementor-widget elementor-widget-text-editor\" data-id=\"31771e6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Altera\u00e7\u00e3o na forma\u00e7\u00e3o do septo central do cora\u00e7\u00e3o, levando a forma\u00e7\u00e3o de uma \u00fanica valva que separa os \u00e1trios e os ventr\u00edculos. \u00c9 frequentemente associada a Comunica\u00e7\u00e3o Interatrial tipo <em>Ostium Primum <\/em>e Comunica\u00e7\u00e3o Interventricular de Via de Entrada. H\u00e1 diversas formas de apresenta\u00e7\u00e3o e a depender da conforma\u00e7\u00e3o pode estar associada a outras cardiopatias.<\/p><p>Cardiopatia que deve ser diagnosticada durante a gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e confirmada ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico.<\/p><p>Na maioria dos casos \u00e9 inicialmente uma doen\u00e7a de hiperfluxo pulmonar e geralmente n\u00e3o causa cianose. Geralmente leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, sudorese intensa, dificuldade de ganho de peso e sopro a partir da 2\u00aa semana de vida.<\/p><p>\u00c9 comum o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) estar normal nesta situa\u00e7\u00e3o, mas dependendo da associa\u00e7\u00e3o com outras cardiopatias ou do estado hemodin\u00e2mico do rec\u00e9m-nascido, pode estar alterado.<\/p><p>Nesta doen\u00e7a h\u00e1 necessidade de cirurgia para reconstru\u00e7\u00e3o adequada das valvas que separam os \u00e1trios e ventr\u00edculos, assim como fechamento das comunica\u00e7\u00f5es que existirem.<\/p><p>A reconstru\u00e7\u00e3o das valvas \u00e9 um passo delicado e mesmo com cirurgi\u00f5es experientes pode ser necess\u00e1rias outras cirurgias al\u00e9m da corre\u00e7\u00e3o inicial.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f85b28d elementor-invisible\" data-id=\"f85b28d\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c4c4b5a elementor-widget elementor-widget-image\" data-id=\"c4c4b5a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"554\" height=\"460\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/DSAV1-e1677507133614.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/DSAV1-e1677507133614.png 554w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/DSAV1-e1677507133614-300x249.png 300w\" sizes=\"auto, (max-width: 554px) 100vw, 554px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0d1a9a0 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d1a9a0\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bca57a6 elementor-invisible\" data-id=\"bca57a6\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-624799a elementor-widget elementor-widget-image\" data-id=\"624799a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"499\" height=\"460\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Persistencia-do-Canal-Arterialpng-e1677507206976.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Persistencia-do-Canal-Arterialpng-e1677507206976.png 499w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Persistencia-do-Canal-Arterialpng-e1677507206976-300x277.png 300w\" sizes=\"auto, (max-width: 499px) 100vw, 499px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-36c933d\" data-id=\"36c933d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ffb9f75 elementor-widget elementor-widget-heading\" data-id=\"ffb9f75\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Persist\u00eancia do Canal Arterial (PCA)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8084169 elementor-widget elementor-widget-text-editor\" data-id=\"8084169\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Falha no fechamento natural do vaso que desvia o sangue dos pulm\u00f5es para o resto do corpo durante a vida fetal.<\/p><p>Cardiopatia comum, muito associada a prematuridade e baixo peso, e justamente nos rec\u00e9m-nascidos nestas condi\u00e7\u00f5es a repercuss\u00e3o costuma ser mais importante.<\/p><p>Neste grupo de beb\u00eas devido ao hiperfluxo pulmonar, o PCA pode levar j\u00e1 nos primeiros dias a sangramento pulmonar, sangramento na cabe\u00e7a, insufici\u00eancia renal, distens\u00e3o abdominal e perfura\u00e7\u00e3o intestinal. Nas crian\u00e7as maiores leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, sudorese intensa e dificuldade de ganho de peso. Causa sopro que pode estar presente a partir do nascimento e se intensifica depois da 2\u00aa semana de vida.<\/p><p>Pode ocorrer oclus\u00e3o espont\u00e2nea, mas a depender da situa\u00e7\u00e3o pode ser necess\u00e1rio procedimento (cirurgia ou cateterismo) para o fechamento.<\/p><p>Tamb\u00e9m \u00e9 comum a Persist\u00eancia do Canal Arterial estar associada a outras cardiopatias, muitas vezes complexas. Um grupo que se destaca s\u00e3o as doen\u00e7as em que h\u00e1 dificuldade de sa\u00edda de sangue do cora\u00e7\u00e3o por algum dos lados. Nestes casos \u00e9 fundamental manter o Canal Arterial aberto para sobrevida do rec\u00e9m-nascido.<\/p><p>O diagn\u00f3stico s\u00f3 pode ser feito ap\u00f3s o nascimento, atrav\u00e9s do Ecocardiograma Transtor\u00e1cico, pois se trata de estrutura fundamental durante a vida fetal que deveria fechar nos primeiros dias de vida.<\/p><p>\u00c9 comum o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) estar normal nesta situa\u00e7\u00e3o, mas dependendo da associa\u00e7\u00e3o com outras cardiopatias ou do estado hemodin\u00e2mico do rec\u00e9m-nascido, pode estar alterado.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ca7ceea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ca7ceea\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9c5def0\" data-id=\"9c5def0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-97105f8 elementor-widget elementor-widget-heading\" data-id=\"97105f8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Janela Aorto-Pulmonar<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0837640 elementor-widget elementor-widget-jet-unfold\" data-id=\"0837640\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:127,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:127,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Altera\u00e7\u00e3o na separa\u00e7\u00e3o dos grandes vasos do cora\u00e7\u00e3o, que permite uma comunica\u00e7\u00e3o entre o Tronco Pulmonar, que leva o sangue para os pulm\u00f5es, e a Aorta, que leva sangue para todas as outras partes do corpo.<\/p><p>Cardiopatia rara, poss\u00edvel de ser diagnosticada durante a gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e deve ser confirmada ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico o quanto antes.<\/p><p>Como muitas vezes n\u00e3o h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, pode estar normal.<\/p><p>Esta \u00e9 inicialmente uma doen\u00e7a de intenso hiperfluxo pulmonar e inicialmente pode n\u00e3o apresentar cianose. Devido a grande quantidade de sangue que \u00e9 desviada para os pulm\u00f5es, leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, sudorese intensa e dificuldade de ganho de peso. Todos os sintomas com apresenta\u00e7\u00e3o bem precoce. A depender do tamanho da comunica\u00e7\u00e3o pode n\u00e3o haver sopro na ausculta.<\/p><p>Nesta doen\u00e7a h\u00e1 necessidade de cirurgia com urg\u00eancia para readequar o fluxo de sangue separando a circula\u00e7\u00e3o pulmonar da sist\u00eamica. Caso isso n\u00e3o ocorra, devido a grande quantidade de sangue que os pulm\u00f5es recebem, suas art\u00e9rias come\u00e7am a ficar mais muscularizadas e evoluem rapidamente para hipertens\u00e3o pulmonar fixa, uma condi\u00e7\u00e3o que contraindica a corre\u00e7\u00e3o das cardiopatias e infelizmente reduz bruscamente o tempo e a qualidade de vida.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-afcd18c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"afcd18c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f31ba2a\" data-id=\"f31ba2a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9fa2598 elementor-widget elementor-widget-heading\" data-id=\"9fa2598\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Truncus Arteriosus<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d13c00 elementor-widget elementor-widget-text-editor\" data-id=\"6d13c00\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Altera\u00e7\u00e3o no desenvolvimento dos grandes vasos que resulta na presen\u00e7a de um \u00fanico grande vaso saindo do cora\u00e7\u00e3o para levar sangue circula\u00e7\u00e3o sist\u00eamica e como para pulmonar.<\/p><p>Sempre est\u00e1 associado a uma comunica\u00e7\u00e3o interventricular e geralmente o vaso truncal tem a valva (\u201cporta\u201d) que permite passagem de sangue de um local para outro) doente, com dificuldade de abertura e fechamento.<\/p><p>Cardiopatia que deve ser diagnosticada durante a gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e deve ser confirmada ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico o quanto antes.<\/p><p>Esta \u00e9 inicialmente uma doen\u00e7a de intenso hiperfluxo pulmonar e cianose. Devido a grande quantidade de sangue que \u00e9 desviada para os pulm\u00f5es, leva a cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes, sudorese intensa e dificuldade de ganho de peso. Todos os sintomas com apresenta\u00e7\u00e3o bem precoce. A depender da valva truncal pode haver sopro.<\/p><p>Devido a cianose esta cardiopatia, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>Assim como na Janela Aorto-Pulmonar, h\u00e1 necessidade de cirurgia com urg\u00eancia para readequar o fluxo de sangue separando a circula\u00e7\u00e3o pulmonar da sist\u00eamica. Caso isso n\u00e3o ocorra, devido a grande quantidade de sangue que os pulm\u00f5es recebem, suas art\u00e9rias come\u00e7am a ficar mais muscularizadas e evoluem rapidamente para hipertens\u00e3o pulmonar fixa, uma condi\u00e7\u00e3o que contraindica a corre\u00e7\u00e3o das cardiopatias e infelizmente reduz bruscamente o tempo e a qualidade de vida. Frequentemente s\u00e3o necess\u00e1rias outras cirurgias card\u00edacas al\u00e9m da inicial.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-22cd29a elementor-invisible\" data-id=\"22cd29a\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61b0fe5 elementor-widget elementor-widget-image\" data-id=\"61b0fe5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"481\" height=\"460\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Truncus-e1677507469717.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Truncus-e1677507469717.png 481w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Truncus-e1677507469717-300x287.png 300w\" sizes=\"auto, (max-width: 481px) 100vw, 481px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cd58c41 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cd58c41\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-804598d elementor-invisible\" data-id=\"804598d\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ff7bb76 elementor-widget elementor-widget-image\" data-id=\"ff7bb76\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"546\" height=\"371\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Coartacao-de-Aorta-e1677507756279.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Coartacao-de-Aorta-e1677507756279.png 546w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Coartacao-de-Aorta-e1677507756279-300x204.png 300w\" sizes=\"auto, (max-width: 546px) 100vw, 546px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-dc47634\" data-id=\"dc47634\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9615f56 elementor-widget elementor-widget-heading\" data-id=\"9615f56\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Coarcta\u00e7\u00e3o de Aorta (CoAo)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f884d1 elementor-widget elementor-widget-jet-unfold\" data-id=\"5f884d1\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia comum, caracterizada por estreitamento na Aorta, geralmente na regi\u00e3o do Istmo A\u00f3rtico, que faz com que o sangue passe com dificuldade por este lugar e reduza a perfus\u00e3o da regi\u00e3o inferior do corpo e a parte superior trabalhe sobre um regime de alta press\u00e3o.<\/p><p>Eventualmente pode ser diagnosticados durante a gesta\u00e7\u00e3o pelo Ecocardiograma Fetal, mas n\u00e3o \u00e9 raro a descoberta ocorrer s\u00f3 ap\u00f3s o nascimento, algumas vezes at\u00e9 em adultos.<\/p><p>O Ecocardiograma Transtor\u00e1cico geralmente \u00e9 o primeiro exame que faz o diagn\u00f3stico, mas \u00e9 comum ser necess\u00e1rio a realiza\u00e7\u00e3o de Angiotomografia para melhor avalia\u00e7\u00e3o pr\u00e9 e p\u00f3s procedimento.<\/p><p>A apresenta\u00e7\u00e3o e gravidade desta doen\u00e7a variam com o grau da obstru\u00e7\u00e3o. Nos casos de estreitamento muito intenso, o feto pode ficar com o cora\u00e7\u00e3o sobrecarregado e ir a \u00f3bito. H\u00e1 aqueles que no nascimento, venham de tanto tempo de sofrimento card\u00edaco que apresentam redu\u00e7\u00e3o da for\u00e7a card\u00edaca, dificuldade para respirar, insufici\u00eancia renal, dificuldade de aceitar dieta, distens\u00e3o abdominal, risco de sangramento e perfura\u00e7\u00e3o intestinal.<\/p><p>Pulso mais fraco nos membros inferiores \u00e9 comum a todos os pacientes. Nos casos mais brandos, a diagn\u00f3stico pode passar despercebido inicialmente. Com o crescimento, a crian\u00e7a costuma se queixar com frequ\u00eancia de dor nas pernas, dor de cabe\u00e7a, e maior cansa\u00e7o para atividades f\u00edsicas. Habitualmente na ausculta card\u00edaca h\u00e1 sopro que pode estar presente desde o nascimento.<\/p><p>A depender da apresenta\u00e7\u00e3o, principalmente nos casos mais leves, esta doen\u00e7a pode n\u00e3o alterar teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Nos casos que o teste do cora\u00e7\u00e3ozinho est\u00e1 alterado estamos frente h\u00e1 uma Coarta\u00e7\u00e3o Cr\u00edtica, na qual o fluxo de sangue para parte inferior do corpo \u00e9 dependente do Canal Arterial e at\u00e9 que a cirurgia ocorra o rec\u00e9m-nascido precisa de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial, vaso que est\u00e1 levando sangue para maior parte do corpo, n\u00e3o feche.<\/p><p>Esta cardiopatia sempre necessita de interven\u00e7\u00e3o. Tudo depende de qu\u00e3o apertado o vaso \u00e9, e por consequ\u00eancia, qual o estado do paciente.<\/p><p>Mesmo ap\u00f3s a interven\u00e7\u00e3o com sucesso, h\u00e1 necessidade de acompanhamento constante destes pacientes.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9d603ba elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9d603ba\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-63da4dd\" data-id=\"63da4dd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db7b6e4 elementor-widget elementor-widget-heading\" data-id=\"db7b6e4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arco A\u00f3rtico Hipopl\u00e1sico<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d02284 elementor-widget elementor-widget-jet-unfold\" data-id=\"9d02284\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia caracterizada por estreitamento segmentar do Arco da Aorta, que faz com que o sangue passe com dificuldade por este lugar e reduza a perfus\u00e3o da regi\u00e3o inferior do corpo e a parte antes da obstru\u00e7\u00e3o trabalhe sobre um regime de alta press\u00e3o.<\/p><p>Esta situa\u00e7\u00e3o deve ser diagnosticada durante a gesta\u00e7\u00e3o atrav\u00e9s do Ecocardiograma Fetal e deve ser confirmada logo ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico. \u00c9 comum a realiza\u00e7\u00e3o de Angiotomografia para melhor avalia\u00e7\u00e3o pr\u00e9 e p\u00f3s procedimento.<\/p><p>A apresenta\u00e7\u00e3o e gravidade desta doen\u00e7a variam com o grau da obstru\u00e7\u00e3o. Nos casos de estreitamento muito intenso, o feto pode ficar com o cora\u00e7\u00e3o sobrecarregado e ir a \u00f3bito. H\u00e1 aqueles que no nascimento, venham de tanto tempo de sofrimento card\u00edaco que apresentam redu\u00e7\u00e3o da for\u00e7a card\u00edaca, dificuldade para respirar, insufici\u00eancia renal, dificuldade de aceitar dieta, distens\u00e3o abdominal, risco de sangramento e perfura\u00e7\u00e3o intestinal.<\/p><p>Pulso mais fraco nos membros inferiores \u00e9 comum a todos os pacientes. Habitualmente na ausculta card\u00edaca h\u00e1 sopro que pode estar presente desde o nascimento.<\/p><p>Por conta da diferen\u00e7a de satura\u00e7\u00e3o entre os membros, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>Esta cardiopatia sempre necessita de interven\u00e7\u00e3o nos primeiros dias de vida.<\/p><p>At\u00e9 que o procedimento ocorra o rec\u00e9m-nascido depende de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial, vaso que est\u00e1 levando sangue para maior parte do corpo, n\u00e3o feche.<\/p><p>Mesmo ap\u00f3s a interven\u00e7\u00e3o com sucesso, h\u00e1 necessidade de acompanhamento constante destes pacientes.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-28dda1f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"28dda1f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fde0673\" data-id=\"fde0673\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b0c2d1 elementor-widget elementor-widget-heading\" data-id=\"5b0c2d1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Interrup\u00e7\u00e3o do Arco A\u00f3rtico<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec492c9 elementor-widget elementor-widget-jet-unfold\" data-id=\"ec492c9\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia caracterizada por descontinuidade do Arco da Aorta, que faz com que o sangue precise de outro caminho (Canal Arterial) para chegar at\u00e9 a parte de baixo do corpo.<\/p><p>O diagn\u00f3stico deve ocorrer durante a gesta\u00e7\u00e3o atrav\u00e9s do Ecocardiograma Fetal e deve ser confirmada logo ap\u00f3s o nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico. \u00c9 comum a realiza\u00e7\u00e3o de Angiotomografia para melhor avalia\u00e7\u00e3o pr\u00e9 procedimento.<\/p><p>Esta doen\u00e7a geralmente n\u00e3o interfere o desenvolvimento do feto, pois, devido o Canal Arterial o sangue consegue chegar na parte inferior do corpo. Entretanto, logo ap\u00f3s o nascimento, com o fechamento do Canal Arterial, come\u00e7am a surgir os sintomas secund\u00e1rios a falta de sangue na regi\u00e3o inferior do corpo: insufici\u00eancia renal, dificuldade de aceitar dieta, distens\u00e3o abdominal, risco de sangramento e perfura\u00e7\u00e3o intestinal, pulsos mais fracos nos membros inferiores, dificuldade de respirar devido grande quantidade de sangue que acaba indo para os pulm\u00f5es.<\/p><p>Como h\u00e1 diferen\u00e7a de satura\u00e7\u00e3o entre os membros, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>Nesta cardiopatia sempre necessita de interven\u00e7\u00e3o com urg\u00eancia nos primeiros dias de vida, seja para reconstru\u00e7\u00e3o do arco a\u00f3rtico ou para manter o Canal Arterial aberto.<\/p><p>At\u00e9 que 1\u00ba procedimento ocorra o rec\u00e9m-nascido depende de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial, vaso que est\u00e1 levando sangue para maior parte do corpo, n\u00e3o feche.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a8e445 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a8e445\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51b7d51\" data-id=\"51b7d51\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-acf9334 elementor-widget elementor-widget-heading\" data-id=\"acf9334\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Estenose A\u00f3rtica (EA)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52c7755 elementor-widget elementor-widget-jet-unfold\" data-id=\"52c7755\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Esta cardiopatia \u00e9 caracteriza por altera\u00e7\u00e3o na valva a\u00f3rtica levando a dificuldade da passagem de sangue por esta estrutura.<\/p><p>Sua forma cong\u00eanita, a depender da gravidade, pode ser diagnosticada na gravidez pelo Ecocardiograma Fetal, e as vezes necessita de interven\u00e7\u00e3o para que o feto possa ter chances de sobreviver. Outros casos, de intensidade menor, s\u00e3o muitas vezes diagnosticados s\u00f3 ap\u00f3s nascimento.<\/p><p>Esta cardiopatia tamb\u00e9m pode ocorrer de forma adquirida, geralmente secund\u00e1rio a febre reum\u00e1tica.<\/p><p>\u00c9 comum, independente da causa, haver sopro sist\u00f3lico intenso no foco a\u00f3rtico, e seus sintomas s\u00e3o equivalentes ao grau de obstru\u00e7\u00e3o. Pacientes com obstru\u00e7\u00e3o importante geralmente tem mais sintomas como dor no peito, falta de ar, dificuldade para realizar exerc\u00edcios f\u00edsico. Com o passar do tempo, se n\u00e3o houver tratamento, o surgimento de importante hipertrofia e arritmias.<\/p><p>A depender da apresenta\u00e7\u00e3o, principalmente nos casos mais leves, esta doen\u00e7a pode n\u00e3o ser alterar o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Nos casos que o teste do cora\u00e7\u00e3ozinho est\u00e1 alterado estamos frente h\u00e1 uma Estenose A\u00f3rtica Cr\u00edtica, na qual o fluxo de sangue para parte inferior do corpo \u00e9 dependente do Canal Arterial e at\u00e9 que ocorra interven\u00e7\u00e3o (cateterismo ou cirurgia) o rec\u00e9m-nascido precisa de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial, vaso que est\u00e1 levando sangue para maior parte do corpo, n\u00e3o feche.<\/p><p><br \/>A necessidade de interven\u00e7\u00e3o geralmente existe quando o paciente apresenta muitos sintomas ou se nota uma dificuldade muito grande de sa\u00edda de sangue no cora\u00e7\u00e3o pelo ecocardiograma. O cateterismo \u00e9 o m\u00e9todo de interven\u00e7\u00e3o muito utilizado com nesta situa\u00e7\u00e3o.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a3ac620 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a3ac620\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3659e0e\" data-id=\"3659e0e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c47678a elementor-widget elementor-widget-heading\" data-id=\"c47678a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Valva A\u00f3rtica Bivalvular<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2fa589b elementor-widget elementor-widget-text-editor\" data-id=\"2fa589b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>A valva a\u00f3rtica \u00e9 uma porta que permite a sa\u00edda de sangue do lado esquerdo do cora\u00e7\u00e3o para quase todo o corpo (exceto pulm\u00f5es). Normalmente \u00e9 composta por 3 partes chamadas de v\u00e1lvulas. Cerca de 0,5 a 2% da popula\u00e7\u00e3o apresenta apenas 2 v\u00e1lvulas. Esta popula\u00e7\u00e3o apresenta maior chances de apresentar Coarta\u00e7\u00e3o de Aorta e Comunica\u00e7\u00e3o Interventricular. Al\u00e9m disso, esta valva bivalvular tem maior risco de desgaste precoce e funcionar inadequadamente.<\/p><p>O teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) \u00e9 normal nesta situa\u00e7\u00e3o.<\/p><p>Mesmo nos pacientes sem outras altera\u00e7\u00f5es \u00e9 fundamental o acompanhamento regular com cardiologista pedi\u00e1trico e implementa\u00e7\u00e3o de bons h\u00e1bitos de sa\u00fade que reduzam a chance de hipertens\u00e3o arterial, que \u00e9 um dos principais fatores para o desgaste precoce da valva a\u00f3rtica.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-79cc532 elementor-invisible\" data-id=\"79cc532\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d2869b elementor-widget elementor-widget-image\" data-id=\"8d2869b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"376\" height=\"374\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Valva-aortica-bivalvular-e1677507867829.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Valva-aortica-bivalvular-e1677507867829.png 376w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Valva-aortica-bivalvular-e1677507867829-300x298.png 300w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Valva-aortica-bivalvular-e1677507867829-150x150.png 150w\" sizes=\"auto, (max-width: 376px) 100vw, 376px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ad89b37 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ad89b37\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a8a7373 elementor-invisible\" data-id=\"a8a7373\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c7a183 elementor-widget elementor-widget-image\" data-id=\"1c7a183\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"694\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-e1677508342149-1024x888.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-e1677508342149-1024x888.png 1024w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-e1677508342149-300x260.png 300w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-e1677508342149-768x666.png 768w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-e1677508342149-1536x1332.png 1536w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-e1677508342149.png 1972w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2d21873\" data-id=\"2d21873\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26dab22 elementor-widget elementor-widget-heading\" data-id=\"26dab22\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">S\u00edndrome da Hipoplasia do Cora\u00e7\u00e3o Esquerdo (SCHE)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa2d1b4 elementor-widget elementor-widget-jet-unfold\" data-id=\"aa2d1b4\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia grave, na qual o ventr\u00edculo esquerdo n\u00e3o se desenvolve, ficando o ventr\u00edculo direito respons\u00e1vel por mandar sangue para todo o corpo. A parte inicial da aorta, vaso que sai do ventr\u00edculo esquerdo e manda sangue para maior parte do corpo (cora\u00e7\u00e3o, cabe\u00e7a, f\u00edgado, intestino, rins, etc), tamb\u00e9m n\u00e3o se desenvolve, o que faz com que o sangue precise passar por caminho diferente (Canal Arterial) para chegar at\u00e9 estes locais.<\/p><p>A dificuldade do sangue chegar aos vasos que alimentam o cora\u00e7\u00e3o \u00e9 um dos maiores perigos desta doen\u00e7a, pois sem sangue o m\u00fasculo card\u00edaco n\u00e3o tem como sobreviver.<\/p><p>O diagn\u00f3stico deve ser feito ainda na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e confirmado imediatamente ap\u00f3s o nascimento.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>Estes beb\u00eas sempre precisam de procedimentos nos primeiros dias de vida e no m\u00ednimo devem fazer 3 cirurgias at\u00e9 o 4\u00ba ano de vida. At\u00e9 que 1\u00ba procedimento ocorra o rec\u00e9m-nascido depende de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial, vaso que est\u00e1 levando sangue para maior parte do corpo, n\u00e3o feche.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b0325de elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b0325de\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e86a684\" data-id=\"e86a684\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1437d89 elementor-widget elementor-widget-heading\" data-id=\"1437d89\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\nTransposi\u00e7\u00e3o de Grandes Art\u00e9rias (D-TGA ou TGA)\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3057a59 elementor-widget elementor-widget-text-editor\" data-id=\"3057a59\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Cardiopatia grave na qual h\u00e1 uma troca na posi\u00e7\u00e3o dos vaso que saem do cora\u00e7\u00e3o. A aorta, vaso que deveria estar conectado ao ventr\u00edculo esquerdo, sai do ventr\u00edculo direito, e o tronco pulmonar, que deveria estar conectado ao ventr\u00edculo direito sai do ventr\u00edculo esquerdo.<\/p><p>Desta forma, a circula\u00e7\u00e3o que normalmente funciona como um circuito \u00fanico, em s\u00e9rie, se transforma em dois circuitos em paralelo, no qual maior parte do corpo fica com sangue pobre em oxig\u00eanio.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>\u00c9 importante que as comunica\u00e7\u00f5es fundamentais para vida fetal (Foram Oval e Canal Arterial) permane\u00e7am abertas, integrando estes 2 sistemas em paralelo, para que o sangue possa se misturar e o oxig\u00eanio, mesmo que menor quantidade que o normal, chegue a maior parte do corpo.<\/p><p>O diagn\u00f3stico desta cardiopatia deve ser feito ainda na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal, e o beb\u00ea precisa nascer num centro especializado pois na maioria dos casos precisa passar por cirurgia nos primeiros dias de vida. Muitas vezes, antes da cirurgia pode ser necess\u00e1rio cateterismo dependendo da condi\u00e7\u00e3o do rec\u00e9m nascido.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-596ffef elementor-invisible\" data-id=\"596ffef\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2dea508 elementor-widget elementor-widget-image\" data-id=\"2dea508\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"616\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-2-e1677508618929-1024x789.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-2-e1677508618929-1024x789.png 1024w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-2-e1677508618929-300x231.png 300w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-2-e1677508618929-768x592.png 768w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-2-e1677508618929-1536x1184.png 1536w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/img-2-e1677508618929-2048x1579.png 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1343760 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1343760\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f9b0f3e\" data-id=\"f9b0f3e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a22a049 elementor-widget elementor-widget-heading\" data-id=\"a22a049\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Transposi\u00e7\u00e3o Corrigida de Grandes Art\u00e9rias (L-TGA ou TCGA)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7e5dd3 elementor-widget elementor-widget-jet-unfold\" data-id=\"c7e5dd3\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia na qual os ventr\u00edculos est\u00e3o em posi\u00e7\u00f5es trocadas. O ventr\u00edculo esquerdo est\u00e1 do lado direito, recebendo sangue do \u00e1trio direito e mandando para os pulm\u00f5es atrav\u00e9s do tronco pulmonar e o ventr\u00edculo direito est\u00e1 do lado esquerdo, recebendo sangue do \u00e1trio esquerdo e mandando para as outras partes do corpo atrav\u00e9s da aorta.<\/p><p>O problema \u00e9 que o lado direito \u00e9 feito para trabalhar com press\u00f5es mais baixas, situa\u00e7\u00e3o comum nos vasos pulmonares, e n\u00e3o com press\u00f5es maiores como a dos vasos de todo resto do corpo (sist\u00eamicos). Com o tempo este ventr\u00edculo come\u00e7a a n\u00e3o dar conta do trabalho al\u00e9m do que foi projetado. Tamb\u00e9m \u00e9 comum presen\u00e7a de arritmias e associa\u00e7\u00e3o com outras les\u00f5es como comunica\u00e7\u00f5es interventriculares.<\/p><p>Esta cardiopatia pode ser diagnosticada ainda na gesta\u00e7\u00e3o atrav\u00e9s do Ecocardiograma Fetal e confirmada ap\u00f3s o nascimento. A necessidade de interven\u00e7\u00e3o depende de diversos fatores que s\u00e3o avaliados no acompanhamento constante do paciente portador de L-TGA.<\/p><p>A depender da apresenta\u00e7\u00e3o, principalmente quando n\u00e3o h\u00e1 associa\u00e7\u00e3o com outras cardiopatias, pode n\u00e3o haver altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bd2f666 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd2f666\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-cd74423 elementor-invisible\" data-id=\"cd74423\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-80179de elementor-widget elementor-widget-image\" data-id=\"80179de\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"698\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/IMG-3-e1677509295379-1024x894.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/IMG-3-e1677509295379-1024x894.png 1024w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/IMG-3-e1677509295379-300x262.png 300w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/IMG-3-e1677509295379-768x671.png 768w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/IMG-3-e1677509295379-1536x1341.png 1536w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/IMG-3-e1677509295379-2048x1788.png 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ea6d954\" data-id=\"ea6d954\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-192788e elementor-widget elementor-widget-heading\" data-id=\"192788e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tetralogia de Fallot (T4F)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a28f0ea elementor-widget elementor-widget-jet-unfold\" data-id=\"a28f0ea\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia na qual h\u00e1 um desvio em uma das paredes do cora\u00e7\u00e3o que leva h\u00e1 uma sequ\u00eancia de altera\u00e7\u00f5es. O desvio anterior do septo infundibular \u00e9 respons\u00e1vel por comunica\u00e7\u00e3o interventricular de mau alinhamento (1) e dextroposi\u00e7\u00e3o da aorta(2) que leva a estreitamento (estenose) da via de sa\u00edda do ventr\u00edculo direito(3) e resulta em hipertrofia do ventr\u00edculo direito(4).<\/p><p>Deve ser diagnosticado ainda na gesta\u00e7\u00e3o atrav\u00e9s do Ecocardiograma Fetal e confirmado ap\u00f3s o nascimento.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>Cardiopatia que pode se apresentar de diversas formas, mas habitualmente gera cianose e sopro intenso desde o nascimento.<\/p><p>Sempre haver\u00e1 necessidade de cirurgia para corre\u00e7\u00e3o. H\u00e1 situa\u00e7\u00f5es nas quais \u00e9 preciso cirurgia logo ap\u00f3s o nascimento, e outras, nas quais existe possibilidade de corre\u00e7\u00e3o cir\u00fargica s\u00f3 por volta dos 6 meses.<\/p><p>Independente do resultado da cirurgia s\u00e3o pacientes que precisam de acompanhamento regular por toda a vida e eventualmente podem necessitar mais cirurgias.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-016e7a3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"016e7a3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0849315\" data-id=\"0849315\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb639de elementor-widget elementor-widget-heading\" data-id=\"fb639de\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Atresia Pulmonar com Comunica\u00e7\u00e3o InterventricularIV (AP c\/ CIV) (Fallot extremo)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2c3866 elementor-widget elementor-widget-jet-unfold\" data-id=\"c2c3866\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Nesta doen\u00e7a a porta que permitiria a sa\u00edda do sangue do ventr\u00edculo direito para o pulm\u00e3o n\u00e3o se abre e h\u00e1 uma Comunica\u00e7\u00e3o Interventricular, por onde o sangue consegue sair do lado direito e ir para o lado esquerdo. Para chegar ao pulm\u00e3o \u00e9 fundamental a Persist\u00eancia do Canal Arterial. O problema \u00e9 que o Canal Arterial \u00e9 uma estrutura que geralmente fecha logo ap\u00f3s o nascimento, o que significa nesta doen\u00e7a que neste momento n\u00e3o haveria mais sangue chegando nos pulm\u00f5es e n\u00e3o conseguir\u00edamos captar o oxig\u00eanio e jogar o g\u00e1s carb\u00f4nico fora, situa\u00e7\u00e3o incompat\u00edvel com a vida.<\/p><p>Este problema deve ser detectado na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e h\u00e1 necessidade da crian\u00e7a nascer em hospital com infraestrutura adequada pois ser\u00e1 submetida a procedimento nos primeiros dias de vida para garantir fluxo de sangue constante para o pulm\u00e3o.<\/p><p>At\u00e9 que este procedimento ocorra o rec\u00e9m-nascido depende de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial n\u00e3o feche.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>Num segundo momento, \u00e9 fundamental a corre\u00e7\u00e3o cir\u00fargica da cardiopatia que frequentemente n\u00e3o ser\u00e1 a \u00fanica cirurgia que o paciente ser\u00e1 submetido.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4b9ca25 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4b9ca25\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f2d8b2\" data-id=\"7f2d8b2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-628a84a elementor-widget elementor-widget-heading\" data-id=\"628a84a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Atresia Pulmonar com Septo Interventricular \u00cdntegro (AP c\/ Septo \u00cdntegro)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34f5865 elementor-widget elementor-widget-jet-unfold\" data-id=\"34f5865\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Nesta doen\u00e7a a porta que permitiria a sa\u00edda do sangue do ventr\u00edculo direito para o pulm\u00e3o n\u00e3o se abre, e o sangue depende de uma Comunica\u00e7\u00e3o Interatrial para sair do lado direito e chegar ao lado esquerdo e do Canal Arterial para chegar aos pulm\u00f5es. O problema \u00e9 que o Canal Arterial \u00e9 uma estrutura que deve se fechar logo ap\u00f3s o nascimento e neste momento n\u00e3o h\u00e1 mais sangue chegando nos pulm\u00f5es e n\u00e3o conseguimos captar o oxig\u00eanio e jogar o g\u00e1s carb\u00f4nico fora.<\/p><p>Esta cardiopatia deve ser diagnostica ainda na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e h\u00e1 necessidade da crian\u00e7a nascer em hospital com infraestrutura adequada pois ser\u00e1 submetida a procedimento nos primeiros dias de vida para garantir fluxo de sangue constante para os pulm\u00f5es. At\u00e9 que este procedimento ocorra o rec\u00e9m-nascido depende de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o canal arterial n\u00e3o feche.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>H\u00e1 diversas apresenta\u00e7\u00f5es desta doen\u00e7a, casos nos quais o ventr\u00edculo direito, de onde nasce o tronco pulmonar, se desenvolve bem e \u00e9 poss\u00edvel manter 2 ventr\u00edculos funcionando ate casos que o ventr\u00edculo direito \u00e9 pouco desenvolvido, n\u00e3o sendo poss\u00edvel contar com ele no funcionamento card\u00edaco.<\/p><p>Cada apresenta\u00e7\u00e3o tem uma linha de tratamento, mas geralmente em todas elas o paciente \u00e9 submetido a mais de um procedimento para chegar ao melhor desempenho card\u00edaco poss\u00edvel.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d66b37a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d66b37a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5aaa8ab\" data-id=\"5aaa8ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2e9a9d4 elementor-widget elementor-widget-heading\" data-id=\"2e9a9d4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Estenose Pulmonar<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e5e92b elementor-widget elementor-widget-jet-unfold\" data-id=\"2e5e92b\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Esta cardiopatia \u00e9 caracteriza por altera\u00e7\u00e3o na valva pulmonar levando a dificuldade da passagem de sangue por esta estrutura.<\/p><p>A depender da gravidade, pode ser diagnosticada na gravidez, e as vezes necessita de interven\u00e7\u00e3o para que o feto possa ter chances de sobreviver. Outros casos, de intensidade menor, s\u00e3o muitas vezes diagnosticados s\u00f3 ap\u00f3s nascimento atrav\u00e9s do Ecocardiograma Transtor\u00e1cico.<\/p><p>\u00c9 comum, independente da causa, haver sopro sist\u00f3lico intenso no foco pulmonar e seus sintomas s\u00e3o equivalentes ao grau de obstru\u00e7\u00e3o. Pacientes com obstru\u00e7\u00e3o importante geralmente tem mais sintomas como cianose, dor no peito, falta de ar, dificuldade para realizar exerc\u00edcios f\u00edsico. Com o passar do tempo, se n\u00e3o houver tratamento, o surgimento de importante hipertrofia do ventr\u00edculo direito e arritmias.<\/p><p>A depender da apresenta\u00e7\u00e3o, principalmente nos casos mais leves, esta doen\u00e7a pode n\u00e3o ser alterar o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Nos casos que o teste do cora\u00e7\u00e3ozinho est\u00e1 alterado estamos frente h\u00e1 uma Estenose Pulmonar Cr\u00edtica, na qual o fluxo de sangue para os pulm\u00f5es \u00e9 dependente do Canal Arterial e at\u00e9 que ocorra interven\u00e7\u00e3o (por cateterismo ou cirurgia) o rec\u00e9m-nascido precisa de uma medica\u00e7\u00e3o (Prostaglandina, Prostin, Alprostadil) para que o Canal Arterial, vaso que est\u00e1 levando sangue para os pulm\u00f5es, n\u00e3o feche.<\/p><p>A necessidade de interven\u00e7\u00e3o geralmente existe quando o paciente apresenta muitos sintomas ou se nota uma dificuldade muito grande de sa\u00edda de sangue no cora\u00e7\u00e3o pelo ecocardiograma. O cateterismo \u00e9 o melhor m\u00e9todo de interven\u00e7\u00e3o nesta situa\u00e7\u00e3o.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1fa32ea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1fa32ea\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-372c989\" data-id=\"372c989\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e7e0bd9 elementor-widget elementor-widget-heading\" data-id=\"e7e0bd9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Atresia Tric\u00faspide (AT)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c34dfa2 elementor-widget elementor-widget-text-editor\" data-id=\"c34dfa2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Cardiopatia na qual a porta que permitiria a passagem de sangue do \u00e1trio direito par ventr\u00edculo direito, que \u00e9 a valva tric\u00faspide, n\u00e3o se abre. O sangue depende de uma comunica\u00e7\u00e3o interatrial para sair do lado direito e chegar ao lado esquerdo do cora\u00e7\u00e3o. H\u00e1 diversas apresenta\u00e7\u00f5es desta doen\u00e7a, e de maneira geral, a segunda condi\u00e7\u00e3o a ser avaliada \u00e9 como o sangue sai do cora\u00e7\u00e3o e chega nos pulm\u00f5es. Todas as apresenta\u00e7\u00f5es desta doen\u00e7a cursam com necessidade de cirurgia, a quest\u00e3o \u00e9 qual tipo de abordagem e quando.<\/p><p>Esta doen\u00e7a deve ser diagnosticada na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e h\u00e1 necessidade da crian\u00e7a nascer em hospital com infraestrutura adequada pois muitas vezes \u00e9 submetida a procedimento nos primeiros dias de vida.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d2b335e elementor-invisible\" data-id=\"d2b335e\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-74a136c elementor-widget elementor-widget-image\" data-id=\"74a136c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"509\" height=\"460\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Atresia-Tricuspide-e1677509487782.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Atresia-Tricuspide-e1677509487782.png 509w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Atresia-Tricuspide-e1677509487782-300x271.png 300w\" sizes=\"auto, (max-width: 509px) 100vw, 509px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-67e4125 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"67e4125\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7daea84 elementor-invisible\" data-id=\"7daea84\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f9c048 elementor-widget elementor-widget-image\" data-id=\"5f9c048\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"423\" height=\"436\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Ebstein-e1677509532724.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Ebstein-e1677509532724.png 423w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Ebstein-e1677509532724-291x300.png 291w\" sizes=\"auto, (max-width: 423px) 100vw, 423px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-45d6bec\" data-id=\"45d6bec\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-104d8c1 elementor-widget elementor-widget-heading\" data-id=\"104d8c1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Anomalia de Ebstein<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e134556 elementor-widget elementor-widget-jet-unfold\" data-id=\"e134556\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:378,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia na qual a valva tric\u00faspide, porta de entrada para o ventr\u00edculo direito, \u00e9 alterada, com uma de suas partes muito grande, mas com funcionamento inapropriado, n\u00e3o conseguindo fechar adequadamente, o que faz com que grande quantidade de sangue que deveria ir para o ventr\u00edculo direito volta para o \u00e1trio direito, ficando esta regi\u00e3o dilatada e o bombeamento de sangue no cora\u00e7\u00e3o se torna ineficaz. Esta doen\u00e7a apresenta diversos formas de apresenta\u00e7\u00e3o, podendo ser t\u00e3o grave a ponto do feto n\u00e3o sobreviver, menos grave mas com necessidade de cirurgia logo ap\u00f3s o nascimento ou passar despercebida na inf\u00e2ncia e ser diagnosticada na vida adulta.<\/p><p>Habitualmente esta cardiopatia deve ser detectada ainda na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e desde a descoberta iniciar acompanhamento com cardiologista pedi\u00e1trico pois em algum momento ser\u00e1 necess\u00e1ria abordagem cir\u00fargica.<\/p><p>A depender da apresenta\u00e7\u00e3o, principalmente nos casos mais leves, esta doen\u00e7a pode n\u00e3o ser detectada no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Como muito sangue volta para o \u00e1trio direito, esta regi\u00e3o se dilata aumentando o risco de arritmias. <br \/><br \/><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a94fcd9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a94fcd9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-92dedda\" data-id=\"92dedda\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1fff144 elementor-widget elementor-widget-heading\" data-id=\"1fff144\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cor Triatriatum<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dafedaa elementor-widget elementor-widget-jet-unfold\" data-id=\"dafedaa\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia caracterizada pela presen\u00e7a de uma membrana dividindo o \u00e1trio, geralmente esquerdo, em duas po\u00e7\u00f5es. \u00c9 fundamental a presen\u00e7a de uma comunica\u00e7\u00e3o interatrial para que o sague possa ter como ultrapassar a membrana e chegar ao ventr\u00edculo.<\/p><p>Esta cardiopatia deve ser diagnostica ainda na gesta\u00e7\u00e3o pelo Ecocardiograma Fetal e h\u00e1 necessidade da crian\u00e7a nascer em hospital com infraestrutura adequada pois ser\u00e1 submetida a procedimento nos primeiros dias de vida para corre\u00e7\u00e3o imediata da cardiopatia.<\/p><p>Devido \u00e0 dificuldade do sangue seguir o caminho habitual \u00e9 comum a por\u00e7\u00e3o ates da membrana ficar dilatada e o sangue ficar represado no pulm\u00e3o, levando a aumento de press\u00e3o no vasos pulmonares.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5c1b7bf\" data-id=\"5c1b7bf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5d40f78 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d40f78\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b81c8a8\" data-id=\"b81c8a8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-635f96f\" data-id=\"635f96f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2196da3 elementor-widget elementor-widget-heading\" data-id=\"2196da3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Anel Supra Valvar Mitral<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83b3b98 elementor-widget elementor-widget-jet-unfold\" data-id=\"83b3b98\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Nesta doen\u00e7a, como o nome j\u00e1 identifica, h\u00e1 uma membrana acima da valva mitral que dificulta a passagem de sangue do \u00e1trio esquerdo para o ventr\u00edculo esquerdo.<\/p><p>Cardiopatia rara, leva a dilata\u00e7\u00e3o do \u00e1trio esquerdo e congest\u00e3o pulmonar. Devido \u00e0 dificuldade do sangue seguir o caminho habitual \u00e9 comum a por\u00e7\u00e3o ates da membrana ficar dilatada e o sangue ficar represado no pulm\u00e3o, levando a aumento de press\u00e3o no vasos pulmonares.<\/p><p>Pode passar despercebida no Ecocardiograma Fetal, mas ap\u00f3s a hist\u00f3ria de recorrentes pneumonias e altera\u00e7\u00e3o na radiografia de t\u00f3rax deve ser diagnosticada no Ecocardiograma transtor\u00e1cico.<\/p><p>Geralmente n\u00e3o cursa com cianose e o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 normal.<\/p><p>Assim que realizado o diagn\u00f3stico deve ser submetida a corre\u00e7\u00e3o cir\u00fargica.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0104586 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0104586\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-15c2af4\" data-id=\"15c2af4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c08eada elementor-widget elementor-widget-heading\" data-id=\"c08eada\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">S\u00edndrome de Shone<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6147896 elementor-widget elementor-widget-jet-unfold\" data-id=\"6147896\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Esta \u00e9 uma situa\u00e7\u00e3o de les\u00f5es sequ\u00eancias do lado esquerdo do cora\u00e7\u00e3o que habitualmente se inicia por uma dificuldade do sangue fluir do \u00e1trio esquerdo para o ventr\u00edculo esquerdo devido altera\u00e7\u00e3o na valva mitral, porta do ventr\u00edculo esquerdo. Como passa pouco sangue o local, o ventr\u00edculo e o vaso que vem depois dele, aorta, tem crescimento inadequado, o que leva a\u00a0 obstru\u00e7\u00e3o da via de sa\u00edda do ventr\u00edculo esquerdo, e coarta\u00e7\u00e3o da aorta.<\/p><p>Esta \u00e9 uma situa\u00e7\u00e3o que o sangue, devido \u00e0 dificuldade de sa\u00edda do lado esquerdo, acaba represado nos pulm\u00f5es, levando a aumento de press\u00e3o no vasos pulmonares (hipertens\u00e3o pulmonar), cansa\u00e7o, infec\u00e7\u00f5es respirat\u00f3rias frequentes.<\/p><p>A depender da apresenta\u00e7\u00e3o, principalmente nos casos mais leves, esta doen\u00e7a pode n\u00e3o haver altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>Assim que realizado o diagn\u00f3stico, se poss\u00edvel, \u00e9 fundamental cirurgia para corre\u00e7\u00e3o desta situa\u00e7\u00e3o e reestabelecimento de fluxo sangu\u00edneo adequado.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b323fca\" data-id=\"b323fca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7a43ad7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a43ad7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a7bd5f1\" data-id=\"a7bd5f1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7ced614\" data-id=\"7ced614\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f0df18 elementor-widget elementor-widget-heading\" data-id=\"1f0df18\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Origem An\u00f4mala da Coron\u00e1ria Esquerda do Tronco Pulmonar (ALCAPA)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d98cfd elementor-widget elementor-widget-jet-unfold\" data-id=\"8d98cfd\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Nosso cora\u00e7\u00e3o \u00e9 nutrido por sangue que chega atrav\u00e9s das art\u00e9rias coron\u00e1rias, os primeiros vasos que surgem da aorta (grande art\u00e9ria que se origina ao ventr\u00edculo esquerdo) logo ap\u00f3s a sa\u00edda do cora\u00e7\u00e3o. Nesta doen\u00e7a, a art\u00e9ria coron\u00e1ria esquerda tem sua origem no tronco pulmonar (grande art\u00e9ria que se origina ao ventr\u00edculo direito).<\/p><p>Cardiopatia de dif\u00edcil diagn\u00f3stico ao Ecocardiograma Fetal, e que n\u00e3o leva a altera\u00e7\u00e3o no desenvolvimento na gesta\u00e7\u00e3o. Mas ap\u00f3s o nascimento h\u00e1 uma queda de press\u00e3o nos pulm\u00f5es e no ventr\u00edculo direito, de tal forma que o sangue na art\u00e9ria coron\u00e1ria esquerda, ligada ao tronco pulmonar tem uma invers\u00e3o de fluxo, e n\u00e3o alimenta o cora\u00e7\u00e3o, mas sim, rouba sangue do m\u00fasculo e manda para o tronco pulmonar.<\/p><p>O m\u00fasculo card\u00edaco sem sangue come\u00e7a a sofrer, o que gera os principais sintomas desta cardiopatia: choro inconsol\u00e1vel pela dor da isquemia, perda de for\u00e7a card\u00edaca, aumento do cora\u00e7\u00e3o, congest\u00e3o pulmonar pois o sangue n\u00e3o \u00e9 bombeado adequadamente e fica represado, dificuldade de ganho de peso e apatia.<\/p><p>A suspeita costuma surgir na investiga\u00e7\u00e3o de radiografia com achado de cora\u00e7\u00e3o grande. O paciente ent\u00e3o \u00e9 encaminhado para o Ecocardiograma Transtor\u00e1cico, no qual \u00e9 poss\u00edvel j\u00e1 realizar o diagn\u00f3stico ou encontrar alguns com achados espec\u00edficos. A Angiotomografia \u00e9 um exame que ajuda muito nos casos de d\u00favida.<\/p><p>Assim que realizado o diagn\u00f3stico este paciente deve ser submetido a cirurgia corretiva.<\/p><p>Como n\u00e3o h\u00e1 cianose nem diferen\u00e7a de satura\u00e7\u00e3o entre os membros n\u00e3o h\u00e1 altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todos os rec\u00e9m nascidos antes da alta hospitalar.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-368c477 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"368c477\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c33e39e\" data-id=\"c33e39e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-188db5d elementor-widget elementor-widget-heading\" data-id=\"188db5d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Drenagem An\u00f4mala Total das Veias Pulmonares (DATVP)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06fcd5b elementor-widget elementor-widget-jet-unfold\" data-id=\"06fcd5b\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia na qual o retorno do sangue dos pulm\u00f5es para o cora\u00e7\u00e3o, que deveria ocorrer pelas veias pulmonares drenando no \u00e1trio esquerdo, n\u00e3o ocorre da forma habitual, e de alguma forma o sangue oxigenado vindo dos pulm\u00f5es chega no \u00e1trio direito. Na forma total, nenhuma veia chega ao \u00e1trio esquerdo, o que leva a insatura\u00e7\u00e3o, pois o sangue que retorna do pulm\u00e3o rico em oxig\u00eanio ir\u00e1 se misturar com sangue pouco oxigenado que retorna das outras partes do corpo.<\/p><p>O sangue s\u00f3 chega ao lado esquerdo do cora\u00e7\u00e3o por uma comunica\u00e7\u00e3o interatrial, que \u00e9 fundamental para sobreviv\u00eancia at\u00e9 a cirurgia.<\/p><p>O diagn\u00f3stico deve ocorrer ainda na gesta\u00e7\u00e3o e se trata de situa\u00e7\u00e3o cr\u00edtica que precisa de corre\u00e7\u00e3o cir\u00fargica urgente ao nascimento. Em algumas situa\u00e7\u00f5es, para ganhar um pouco de tempo antes da cirurgia pode ser realizado cateterismo para aumentar o tamanho da comunica\u00e7\u00e3o interatrial.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-28b1e66\" data-id=\"28b1e66\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-deb4580 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"deb4580\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fd58cfa\" data-id=\"fd58cfa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d103d5e\" data-id=\"d103d5e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-592428e elementor-widget elementor-widget-heading\" data-id=\"592428e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Drenagem An\u00f4mala Parcial das Veias Pulmonares (DAPVP)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ee3c98 elementor-widget elementor-widget-jet-unfold\" data-id=\"4ee3c98\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia na qual o retorno do sangue dos pulm\u00f5es para o cora\u00e7\u00e3o, que deveria ocorrer pelas veias pulmonares drenando no \u00e1trio esquerdo, n\u00e3o ocorre da forma habitual, e de alguma forma o sangue oxigenado vindo dos pulm\u00f5es no \u00e1trio direito. Na forma parcial, geralmente as veias pulmonares direitas, retornam por algum caminho at\u00e9 o lado direito.<\/p><p>Como ainda h\u00e1 veias pulmonares que drenam no \u00e1trio esquerdo, n\u00e3o \u00e9 fundamental a presen\u00e7a de comunica\u00e7\u00e3o interatrial, apesar de muitas vezes estar presente.<\/p><p>O diagn\u00f3stico fetal n\u00e3o \u00e9 t\u00e3o simples quanto a forma total, mas, ainda assim, \u00e9 poss\u00edvel.<\/p><p>Os principais achados desta cardiopatia s\u00e3o secund\u00e1rios ao aumento do volume de sangue que retorna para o lado direito e \u00e9 enviado para os pulm\u00f5es, o que leva a aumento do cora\u00e7\u00e3o, cansa\u00e7o, dificuldade de ganho de peso, infec\u00e7\u00f5es respirat\u00f3rias frequentes. O paciente inicialmente apresenta satura\u00e7\u00e3o adequada maior parte das vezes.<\/p><p>A depender da apresenta\u00e7\u00e3o esta doen\u00e7a pode n\u00e3o haver altera\u00e7\u00e3o no teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal) que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar.<\/p><p>A corre\u00e7\u00e3o da cardiopatia deve ser realizada assim que poss\u00edvel e s\u00f3 \u00e9 poss\u00edvel de forma cir\u00fargica.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-64dd3a2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"64dd3a2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-abe43de\" data-id=\"abe43de\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-129399b elementor-widget elementor-widget-heading\" data-id=\"129399b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dupla Via de Sa\u00edda do Ventr\u00edculo Direito<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a8c436 elementor-widget elementor-widget-jet-unfold\" data-id=\"0a8c436\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia complexa, com diversas formas de apresenta\u00e7\u00e3o, na qual os dois vasos que saem dos ventr\u00edculos tem maior parte de sua origem no ventr\u00edculo direito. Devido a este posicionamento n\u00e3o habitual dos vasos sempre h\u00e1 uma Comunica\u00e7\u00e3o Interventricular. Independente da forma, a avalia\u00e7\u00e3o pelo Ecocardiograma Fetal consegue identificar maioria dos casos. Estas beb\u00eas devem nascer em hospital especializado e serem avaliados pelo cardiologista pedi\u00e1trico assim que poss\u00edvel para confirma\u00e7\u00e3o dos achados fetais e seguir a linha de tratamento.<\/p><p>H\u00e1 situa\u00e7\u00f5es nas quais \u00e9 fundamental a interven\u00e7\u00e3o nos primeiros dias de vida. Em outras, a abordagem pode ocorrer num segundo momento, mas invariavelmente, estes pacientes ser\u00e3o submetidos a cirurgia card\u00edaca, frequentemente no 1\u00ba ano.<\/p><p>Na maioria dos pacientes esta h\u00e1 cianose e o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5ee8688\" data-id=\"5ee8688\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-382a5a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"382a5a8\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d81fc78\" data-id=\"d81fc78\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-19ac41f\" data-id=\"19ac41f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-86f2428 elementor-widget elementor-widget-heading\" data-id=\"86f2428\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dupla Via de Entrada para o Ventr\u00edculo \u00danico<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4d7309 elementor-widget elementor-widget-jet-unfold\" data-id=\"d4d7309\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Cardiopatia grave, na qual os dois \u00e1trios se abrem para um \u00fanico ventr\u00edculo, habitualmente esquerdo, algumas vezes indeterminado. O ventr\u00edculo direito geralmente n\u00e3o se desenvolve nesta condi\u00e7\u00e3o. Muitas vezes os vasos que saem do cora\u00e7\u00e3o est\u00e3o em posi\u00e7\u00e3o trocada e \u00e9 comum um destes, tronco pulmonar ou aorta, \u00e9 subdesenvolvido.<\/p><p>O diagn\u00f3stico na gesta\u00e7\u00e3o atrav\u00e9s do Ecocardiograma Fetal \u00e9 fundamental para programar e dar assist\u00eancia adequada imediatamente ao nascimento.<\/p><p>Como h\u00e1 cianose, o teste do cora\u00e7\u00e3ozinho (triagem cardiol\u00f3gica neonatal), que deve ser realizado em todas os rec\u00e9m-nascidos antes da alta hospitalar, \u00e9 alterado.<\/p><p>\u00a0<\/p><p>Estas crian\u00e7as sempre necessitam de interven\u00e7\u00f5es card\u00edacas, a programa\u00e7\u00e3o depende da apresenta\u00e7\u00e3o da cardiopatia, mas habitualmente aos 6 meses e por volta do 3 anos devem ser realizadas as cirurgias de Glenn e Fontan respectivamente.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c28cdea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c28cdea\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-693e7b4\" data-id=\"693e7b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a9d2e80 elementor-widget elementor-widget-heading\" data-id=\"a9d2e80\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Isomerismos<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56e7a72 elementor-widget elementor-widget-jet-unfold\" data-id=\"56e7a72\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Nosso corpo apresenta algumas diferen\u00e7as entre o lado direito e esquerdo (as partes do cora\u00e7\u00e3o, est\u00f4mago e ba\u00e7o do lado esquerdo, f\u00edgado do lado direito, divis\u00f5es do pulm\u00e3o entre as mais importantes).<\/p><p>Nesta situa\u00e7\u00e3o um dos lados do corpo \u00e9 espelhado pelo outro, havendo pouca diferen\u00e7a entre o lado direito e esquerdo o que leva a altera\u00e7\u00f5es em todo o corpo.<\/p><p>Os vasos que chegam e saem do cora\u00e7\u00e3o podem estar em posi\u00e7\u00e3o fora do habitual, s\u00e3o comuns diversos tipo\u00a0 altera\u00e7\u00f5es card\u00edacas e o ritmo do cora\u00e7\u00e3o frequentemente n\u00e3o \u00e9 normal.<\/p><p>A suspeita de isomerismo ocorre ainda no Ecocardiograma Fetal e \u00e9 fundamental a busca por altera\u00e7\u00f5es card\u00edacas antes do nascimento para realizar o melhor planejamento poss\u00edvel para a chegada\u00a0 destes beb\u00eas que por vezes podem necessitar de procedimentos card\u00edacos nos primeiros dias de vida.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2a5661a\" data-id=\"2a5661a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f0f39fb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f0f39fb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;tilt&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2ec1d55\" data-id=\"2ec1d55\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ec4a6d6 elementor-widget elementor-widget-heading\" data-id=\"ec4a6d6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Situs Inversus<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad8658d elementor-widget elementor-widget-jet-unfold\" data-id=\"ad8658d\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Nesta condi\u00e7\u00e3o, as estruturas que deveriam estar o lado esquerdo se posicionam do lado direito, e as do lado direito se posicionam do lado esquerdo. De forma geral h\u00e1 2 grupos. Quando a invers\u00e3o \u00e9 completa, cora\u00e7\u00e3o e todos os \u00f3rg\u00e3os est\u00e3o em posi\u00e7\u00e3o inversa, geralmente n\u00e3o h\u00e1 altera\u00e7\u00e3o card\u00edaca. Quando apenas o cora\u00e7\u00e3o ou alguns \u00f3rg\u00e3o est\u00e3o em posi\u00e7\u00e3o alterada, nestes casos \u00e9 muito comum que haja diversas altera\u00e7\u00f5es, muitas graves, no cora\u00e7\u00e3o.<\/p><p>A avalia\u00e7\u00e3o deve incluir al\u00e9m do cora\u00e7\u00e3o, os demais \u00f3rg\u00e3os e as a\u00e7\u00f5es s\u00e3o realizadas conforme altera\u00e7\u00f5es que o beb\u00ea possa apresentar.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19e05bd elementor-widget elementor-widget-image\" data-id=\"19e05bd\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"745\" height=\"323\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Situs-Inversus-e1677514577265.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Situs-Inversus-e1677514577265.png 745w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Situs-Inversus-e1677514577265-300x130.png 300w\" sizes=\"auto, (max-width: 745px) 100vw, 745px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-08b497f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"08b497f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ce08410\" data-id=\"ce08410\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-71403f6 elementor-widget elementor-widget-heading\" data-id=\"71403f6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tumores Card\u00edacos<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f022cc9 elementor-widget elementor-widget-jet-unfold\" data-id=\"f022cc9\" data-element_type=\"widget\" data-settings=\"{&quot;mask_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;mask_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;mask_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;unfold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;unfold_easing&quot;:&quot;easeOutBack&quot;,&quot;fold_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;fold_easing&quot;:&quot;easeOutSine&quot;}\" data-widget_type=\"jet-unfold.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-unfold \" data-settings=\"{&quot;height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:200,&quot;sizes&quot;:[]},&quot;separatorHeight&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:68,&quot;sizes&quot;:[]},&quot;unfoldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:500,&quot;sizes&quot;:[]},&quot;foldDuration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:300,&quot;sizes&quot;:[]},&quot;unfoldEasing&quot;:&quot;easeOutBack&quot;,&quot;foldEasing&quot;:&quot;easeOutSine&quot;,&quot;foldScrolling&quot;:&quot;false&quot;,&quot;hideOutsideClick&quot;:&quot;false&quot;,&quot;autoHide&quot;:&quot;false&quot;,&quot;autoHideTime&quot;:&quot;&quot;}\">\n\t\t\t<div class=\"jet-unfold__inner\">\n\t\t\t\t<div class=\"jet-unfold__mask\">\n\t\t\t\t\t<div class=\"jet-unfold__content\">\n\t\t\t\t\t\t<div class=\"jet-unfold__content-inner elementor-text-editor elementor-clearfix\"><p>Tumores no cora\u00e7\u00e3o de crian\u00e7as s\u00e3o eventos incomuns e podem estar presentes antes do nascimento. A localiza\u00e7\u00e3o, formato e outras altera\u00e7\u00f5es d\u00e3o dicas que segurem qual tipo de neoplasia temos a frente, mas s\u00f3 ap\u00f3s an\u00e1lise do material que conseguimos confirmar.<\/p><p>Os sintomas, riscos e a necessidade de abordagem variam conforme o tipo e localiza\u00e7\u00e3o da massa.<\/p><p>Muitas vezes durante a vida fetal conseguimos fazer o diagn\u00f3stico e nestas situa\u00e7\u00f5es \u00e9 fundamental nascimento em local preparado para avaliar o beb\u00ea logo ap\u00f3s o nascimento, e se necess\u00e1rio realizar cirurgia.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-unfold__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-unfold__trigger\"><div class=\"jet-unfold__button elementor-button elementor-size-md\" href=\"#\" data-unfold-text=\"Continue lendo\" data-fold-text=\"\" data-fold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-up&quot;&gt;&lt;\/i&gt;\" data-unfold-icon=\"&lt;i aria-hidden=&quot;true&quot; class=&quot;fas fa-chevron-down&quot;&gt;&lt;\/i&gt;\" tabindex=\"0\" role=\"button\"><span class=\"jet-unfold__button-icon jet-tricks-icon\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/span><span class=\"jet-unfold__button-text\">Continue lendo<\/span><\/div>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a676524\" data-id=\"a676524\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38e104b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38e104b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4900ef6\" data-id=\"4900ef6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bb87739 elementor-widget elementor-widget-heading\" data-id=\"bb87739\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arritmias<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-574e5d4 elementor-widget elementor-widget-text-editor\" data-id=\"574e5d4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-6\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><div class=\"aio-icon-component style_1\"><div id=\"Info-box-wrap-9001\" class=\"aio-icon-box default-icon\"><div class=\"aio-icon-description ult-responsive\" data-ultimate-target=\"#Info-box-wrap-9001 .aio-icon-description\" data-responsive-json-new=\"{&quot;font-size&quot;:&quot;&quot;,&quot;line-height&quot;:&quot;&quot;}\"><p>Arritmia \u00e9 toda a altera\u00e7\u00e3o no ritmo natural do cora\u00e7\u00e3o.<\/p><p>Elas podem surgir desde antes do nascimento e sempre precisam ser avaliadas com rapidez, pois a perda de tempo no tratamento pode transformar situa\u00e7\u00f5es facilmente control\u00e1veis em condi\u00e7\u00f5es potencialmente perigosas a vida.<\/p><p>A melhor forma de avaliar inicialmente o ritmo \u00e9 atrav\u00e9s do Eletrocardiograma, exame de f\u00e1cil acesso e nada invasivo. Entretanto, na gesta\u00e7\u00e3o n\u00e3o \u00e9 poss\u00edvel colocar as pecinhas (eletrodos) no t\u00f3rax do feto para realizar esta avalia\u00e7\u00e3o. Nesta situa\u00e7\u00e3o o Ecocardiograma Fetal \u00e9 essencial para avalia\u00e7\u00e3o do ritmo card\u00edaco.<\/p><p>As situa\u00e7\u00f5es que trazem risco de vida, preju\u00edzo a for\u00e7a do cora\u00e7\u00e3o ou mal estar ao paciente frequentemente precisam de medica\u00e7\u00e3o e algumas vezes pode ser necess\u00e1rio interven\u00e7\u00e3o para abla\u00e7\u00e3o, um procedimento que lembra um cateterismo, e tem como objetivo suprimir os focos de arritmia do cora\u00e7\u00e3o.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9102a0f elementor-invisible\" data-id=\"9102a0f\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-955de6a elementor-widget elementor-widget-image\" data-id=\"955de6a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"419\" height=\"382\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Rabdomioma-e1677514850903.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Rabdomioma-e1677514850903.png 419w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Rabdomioma-e1677514850903-300x274.png 300w\" sizes=\"auto, (max-width: 419px) 100vw, 419px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c91cbb5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c91cbb5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9fe794c\" data-id=\"9fe794c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed6efb9 elementor-widget elementor-widget-image\" data-id=\"ed6efb9\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"710\" height=\"309\" src=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Flutter-atrial-e1677514918203.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Flutter-atrial-e1677514918203.png 710w, https:\/\/starthis.com.br\/drlucas\/wp-content\/uploads\/2023\/02\/Flutter-atrial-e1677514918203-300x131.png 300w\" sizes=\"auto, (max-width: 710px) 100vw, 710px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8a06350\" data-id=\"8a06350\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cardiopatias Cong\u00eanitas As cardiopatias cong\u00eanitas est\u00e3o aqui\u00a0 apresentadas de forma isolada. Mas infelizmente n\u00e3o \u00e9 raro a combina\u00e7\u00e3o delas em um paciente. De toda forma, esta p\u00e1gina tem como proposta uma explica\u00e7\u00e3o geral sobre as doen\u00e7as do cora\u00e7\u00e3o que se apresentam desde o nascimento. A leitura deste conte\u00fado n\u00e3o substitui uma consulta com cardiologista pedi\u00e1trico. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-669","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/pages\/669","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/comments?post=669"}],"version-history":[{"count":92,"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/pages\/669\/revisions"}],"predecessor-version":[{"id":814,"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/pages\/669\/revisions\/814"}],"wp:attachment":[{"href":"https:\/\/starthis.com.br\/drlucas\/wp-json\/wp\/v2\/media?parent=669"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}