Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Circulao Fetal
Moacir Fernandes de
Godoy
http://connection.lww.com/Products/timbyessentials/Ch01/jpg/01_003.jpg
1. Ducto arterial
2. Ducto venoso
3. Forame oval
http://mcb.berkeley.edu/courses/mcb135e/fetal.html
Ajustes circulatrios ao
nascimento
A entrada de oxignio nos pulmes
induz vasoconstrico do ducto arterial.
A aerao dos pulmes ao nascimento
est associada com:
1. queda dramtica na resistncia vascular
pulmonar devido a expanso dos pulmes.
2. acentuado aumento no fluxo sangneo
pulmonar (aumentando a presso atrial
esquerda a valores acima da presso da veia
cava inferior).
3. afinamento progressivo da parede dos
vasos pulmonares (decorrente de
estiramento medida que o pulmo
aumenta de volume)
http://mcb.berkeley.edu/courses/mcb135e/fetal.html
Comportamento Hemodinmico
Pr e ps natal
Presso pulmonar mdia
Fluxo pulmonar
Resistncia
vascular
pulmonar
semanas
nascimento
Circ.sistmica
Circ.sistmica
Ventr.esquerdo
Ventr.esquerdo
Ventr.esquerdo
Pulmo
Pulmo
Pulmo
Ventr.direito
Ventr.direito
Ventr.direito
FETO
NEONATO
ADULTO
http://www.pted.org/htms/fetal1.htm#
1938, Robert
Edward Gross,
cirurgio
americano, realiza a
primeira cirurgia
cardaca
(ligadura de um
PDA)
http://www.medicalarchives.jhmi.edu/oprhres.jpg
On November 29, 1944, Drs. Blalock and Taussig decided to proceed with the
anastomosis, or joining, of the subclavian artery to the pulmonary artery in a cyanotic
child. Dr. Helen Taussig was convinced that the operation would help the patient, and
despite the technical problems of operating on a very small and very ill child, Dr.
Alfred Blalock's skill was equal to the task. The tiny child who had been at such great
risk survived the operation and slowly improved. Over the succeeding days she
gradually became less blue. By the end of the second postoperative week it was clear
(Comunicao Interatrial)
2002
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