<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h0" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg1.png"><div class="c x1 y1 w2 h1"><div class="t m0 x2 h2 y2 ff1 fs0 fc0 sc0 ls1 ws13">BBPM 3 \u2013 TUT<span class="blank _0"></span>ORIA 01</div></div><div class="c x3 y3 w3 h3"><div class="t m0 x4 h4 y4 ff1 fs1 fc0 sc0 ls2">25/03/2021</div></div><div class="c x0 y0 w1 h5"><div class="t m0 x1 h6 y5 ff2 fs2 fc0 sc0 ls1 ws0">M.<span class="blank"> </span>P<span class="blank _1"></span>.<span class="blank"> </span>C.,<span class="blank"> </span>fumante<span class="blank"> </span>(8<span class="blank"> </span>cig<span class="blank _0"></span>arr<span class="blank _0"></span>os/dia),<span class="blank"> </span>etilist<span class="blank _0"></span>a<span class="blank"> </span>crônica<span class="blank _0"></span>,<span class="blank"> </span>primigest<span class="blank _0"></span>a<span class="blank"> </span>sem<span class="blank _2"> </span>acompanhament<span class="blank _0"></span>o</div><div class="t m0 x1 h6 y6 ff2 fs2 fc0 sc0 ls1 ws1">gest<span class="blank _0"></span>acional<span class="blank _3"> </span>nos<span class="blank _3"> </span>dois<span class="blank _3"> </span>primeiros<span class="blank _3"> </span>trimestr<span class="blank _0"></span>es,<span class="blank _3"> </span>procur<span class="blank _0"></span>ou<span class="blank _3"> </span>atendime<span class="blank _0"></span>nto<span class="blank"> </span>par<span class="blank _0"></span>a<span class="blank"> </span>início<span class="blank"> </span>de<span class="blank"> </span>pré-na<span class="blank _0"></span>tal.<span class="blank"> </span>Na</div><div class="t m0 x1 h6 y7 ff2 fs2 fc0 sc0 ls1 ws2">ultrassonogr<span class="blank _0"></span>afia<span class="blank _4"> </span>morfológ<span class="blank _0"></span>ica<span class="blank _4"> </span>foi<span class="blank _4"> </span>detectada<span class="blank"> </span>malf<span class="blank _0"></span>ormação<span class="blank"> </span>c<span class="blank _0"></span>ardíaca.<span class="blank"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C.<span class="blank"> </span>se<span class="blank"> </span>mostr<span class="blank _0"></span>ou</div><div class="t m0 x1 h6 y8 ff2 fs2 fc0 sc0 ls1 ws3">preocupada<span class="blank _5"> </span>e<span class="blank _5"> </span>perguntou<span class="blank _5"> </span>à<span class="blank _5"> </span>obstet<span class="blank _0"></span>ra<span class="blank _5"> </span>por<span class="blank"> </span>que<span class="blank"> </span>tal<span class="blank"> </span>f<span class="blank _0"></span>ato<span class="blank"> </span>ac<span class="blank _0"></span>ontecer<span class="blank _0"></span>a.<span class="blank"> </span>Com<span class="blank"> </span>muit<span class="blank _0"></span>a<span class="blank"> </span>delicadez<span class="blank _0"></span>a<span class="blank"> </span>a</div><div class="t m0 x1 h6 y9 ff2 fs2 fc0 sc0 ls1 ws4">obst<span class="blank _0"></span>etr<span class="blank _0"></span>a<span class="blank _6"> </span>explic<span class="blank _0"></span>ou<span class="blank _6"> </span>que<span class="blank _6"> </span>se<span class="blank"> </span>tr<span class="blank _0"></span>ata<span class="blank _0"></span>va<span class="blank"> </span>da<span class="blank"> </span><span class="ff3 ws5">síndrome<span class="blank"> </span>alc<span class="blank _0"></span>oólica<span class="blank"> </span>fe<span class="blank _0"></span>tal<span class="ff2 ws6">,<span class="blank"> </span>uma<span class="blank"> </span>malf<span class="blank _0"></span>ormação<span class="blank"> </span>c<span class="blank _0"></span>ardíaca</span></span></div><div class="t m0 x1 h6 ya ff2 fs2 fc0 sc0 ls1 ws7">congênit<span class="blank _0"></span>a<span class="blank _7"> </span>devido<span class="blank _7"> </span>à<span class="blank _7"> </span>utilizaç<span class="blank _0"></span>ão<span class="blank _7"> </span>de<span class="blank _7"> </span>bebida<span class="blank _7"> </span>alcoólica<span class="blank"> </span>dur<span class="blank _0"></span>ant<span class="blank _0"></span>e<span class="blank"> </span>a<span class="blank"> </span>gest<span class="blank _0"></span>ação.<span class="blank"> </span>Explicou<span class="blank"> </span>t<span class="blank _0"></span>ambém,<span class="blank"> </span>que<span class="blank"> </span>as</div><div class="t m0 x1 h6 yb ff2 fs2 fc0 sc0 ls1 ws8">malform<span class="blank _0"></span>ações<span class="blank"> </span>congênit<span class="blank _0"></span>as<span class="blank"> </span>result<span class="blank _0"></span>am,<span class="blank"> </span>na<span class="blank"> </span>maioria<span class="blank"> </span>dos<span class="blank"> </span>casos,<span class="blank"> </span>de<span class="blank"> </span>alte<span class="blank _0"></span>raç<span class="blank _0"></span>ões<span class="blank _7"> </span>no<span class="blank _7"> </span>desenvolvimen<span class="blank _0"></span>to</div><div class="t m0 x1 h6 yc ff2 fs2 fc0 sc0 ls1 ws9">embrionário<span class="blank _7"> </span>de<span class="blank _7"> </span>uma<span class="blank _7"> </span>determinada<span class="blank"> </span>es<span class="blank _0"></span>trutur<span class="blank _0"></span>a<span class="blank"> </span>normal,<span class="blank"> </span>obtendo<span class="blank"> </span>um<span class="blank"> </span>desen<span class="blank _0"></span>volviment<span class="blank _0"></span>o<span class="blank"> </span>insuficient<span class="blank _0"></span>e</div><div class="t m0 x1 h6 yd ff2 fs2 fc0 sc0 ls1 wsa">e<span class="blank _7"> </span>incomplet<span class="blank _0"></span>o<span class="blank _7"> </span>a<span class="blank _7"> </span>partir<span class="blank _7"> </span>do<span class="blank _7"> </span>seu<span class="blank _7"> </span>estágio<span class="blank _7"> </span>inicial.<span class="blank _7"> </span>RN<span class="blank _7"> </span>de<span class="blank _7"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C.<span class="blank _7"> </span>nasce<span class="blank"> </span>e,<span class="blank"> </span>após<span class="blank"> </span>três<span class="blank"> </span>dias<span class="blank"> </span>de<span class="blank"> </span>in<span class="blank _0"></span>ternação</div><div class="t m0 x1 h6 ye ff2 fs2 fc0 sc0 ls1 wsb">com<span class="blank _3"> </span>hist<span class="blank _0"></span>órico<span class="blank _3"> </span>de<span class="blank"> </span>SS<span class="blank"> </span>em<span class="blank"> </span>BEE,<span class="blank"> </span>taquipnéia,<span class="blank"> </span>baix<span class="blank _0"></span>o<span class="blank"> </span>g<span class="blank _0"></span>anho<span class="blank"> </span>pondera<span class="blank _0"></span>l<span class="blank"> </span>e<span class="blank"> </span>broncopneumonia<span class="blank"> </span>+<span class="blank"> </span>cianose</div><div class="t m0 x1 h6 yf ff2 fs2 fc0 sc0 ls1 wsc">(Sat<span class="blank"> </span>O<span class="fs3 ls0 v1">2</span><span class="ws9">75%<span class="blank _7"> </span>-<span class="blank _7"> </span>80%)<span class="blank _7"> </span>em<span class="blank _7"> </span>ar<span class="blank _7"> </span>ambient<span class="blank _0"></span>e,<span class="blank"> </span>é<span class="blank"> </span>encaminhada<span class="blank"> </span>par<span class="blank _0"></span>a<span class="blank"> </span>ecoc<span class="blank _0"></span>ardiogr<span class="blank _0"></span>ama<span class="blank"> </span>que<span class="blank"> </span>mostr<span class="blank _0"></span>ou<span class="blank"> </span>def<span class="blank _0"></span>eito</span></div><div class="t m0 x1 h6 y10 ff2 fs2 fc0 sc0 ls1 wsd">tota<span class="blank _0"></span>l<span class="blank _8"> </span>de<span class="blank _8"> </span>sept<span class="blank _0"></span>o<span class="blank _8"> </span>atriov<span class="blank _0"></span>entricular<span class="blank _9"></span>,<span class="blank _8"> </span>v<span class="blank _0"></span>alva<span class="blank _8"> </span>a<span class="blank _0"></span>trioventricular<span class="blank _a"> </span>comum,<span class="blank _a"> </span>grande<span class="blank"> </span>comunic<span class="blank _0"></span>ação</div><div class="t m0 x1 h6 y11 ff2 fs2 fc0 sc0 ls1 wse">interve<span class="blank _0"></span>ntricular<span class="blank _b"> </span>(CIV),<span class="blank _b"> </span>uma<span class="blank"> </span>comunicaç<span class="blank _0"></span>ão<span class="blank"> </span>inter<span class="blank _0"></span>atrial<span class="blank"> </span>(CIA)<span class="blank"> </span>tipo<span class="blank"> </span>os<span class="blank _0"></span>tium<span class="blank"> </span>primum<span class="blank"> </span>(OP)<span class="blank"> </span>e<span class="blank"> </span>relação</div><div class="t m0 x1 h6 y12 ff2 fs2 fc0 sc0 ls1 ws9">Qp:Qs<span class="blank _7"> </span>><span class="blank _7"> </span>2.<span class="blank _7"> </span>Na<span class="blank _7"> </span>radiogr<span class="blank _0"></span>afia<span class="blank _7"> </span>de<span class="blank"> </span>t<span class="blank _0"></span>óra<span class="blank _0"></span>x<span class="blank"> </span>havia<span class="blank"> </span>c<span class="blank _0"></span>ardiomeg<span class="blank _0"></span>alia<span class="blank"> </span>modera<span class="blank _0"></span>da<span class="blank"> </span>e<span class="blank"> </span>aumento<span class="blank"> </span>da<span class="blank"> </span>v<span class="blank _0"></span>ascularizaç<span class="blank _0"></span>ão</div><div class="t m0 x1 h6 y13 ff2 fs2 fc0 sc0 ls1 wsf">pulmonar<span class="blank _9"></span>.<span class="blank"> </span>O<span class="blank"> </span>car<span class="blank _0"></span>diologist<span class="blank _0"></span>a<span class="blank"> </span>pediátrico<span class="blank"> </span>e<span class="blank _0"></span>xplica<span class="blank"> </span>a<span class="blank"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C.<span class="blank"> </span>que<span class="blank"> </span>é<span class="blank"> </span>necessário<span class="blank"> </span>submeter<span class="blank"> </span>a<span class="blank"> </span>crianç<span class="blank _0"></span>a<span class="blank"> </span>a</div><div class="t m0 x1 h6 y14 ff2 fs2 fc0 sc0 ls1 ws10">procedimen<span class="blank _0"></span>to<span class="blank"> </span>cirúr<span class="blank _0"></span>gico.<span class="blank"> </span>M.P<span class="blank _1"></span>.C.<span class="blank"> </span>fic<span class="blank _0"></span>a<span class="blank"> </span>muito<span class="blank"> </span>aflit<span class="blank _0"></span>a<span class="blank"> </span>e<span class="blank"> </span>questiona<span class="blank"> </span>se<span class="blank"> </span>realme<span class="blank _0"></span>nte<span class="blank"> </span>é<span class="blank"> </span>necessária<span class="blank _b"> </span>a</div><div class="t m0 x1 h6 y15 ff2 fs2 fc0 sc0 ls1 ws11">cirurgia,<span class="blank _7"> </span>pois<span class="blank _7"> </span>t<span class="blank _0"></span>em<span class="blank _7"> </span>muito<span class="blank _7"> </span>medo<span class="blank _7"> </span>de<span class="blank _7"> </span>perder<span class="blank _7"> </span>seu<span class="blank _7"> </span>bebê.<span class="blank"> </span>O<span class="blank"> </span>c<span class="blank _0"></span>ardiologis<span class="blank _0"></span>ta<span class="blank"> </span>ent<span class="blank _0"></span>ão<span class="blank"> </span>explic<span class="blank _0"></span>a<span class="blank"> </span>que<span class="blank"> </span>o<span class="blank"> </span>def<span class="blank _0"></span>eito</div><div class="t m0 x1 h6 y16 ff2 fs2 fc0 sc0 ls1 wsf">na<span class="blank _b"> </span>anatomia<span class="blank _b"> </span>car<span class="blank _0"></span>díaca<span class="blank _b"> </span>f<span class="blank _0"></span>az<span class="blank _b"> </span>com<span class="blank _b"> </span>que<span class="blank _b"> </span>o<span class="blank _b"> </span>cor<span class="blank _0"></span>ação<span class="blank"> </span>tenha<span class="blank"> </span>sua<span class="blank"> </span>funç<span class="blank _0"></span>ão<span class="blank"> </span>de<span class="blank"> </span>bomba<span class="blank"> </span>prejudicada,<span class="blank"> </span>e<span class="blank"> </span>é</div><div class="t m0 x1 h6 y17 ff2 fs2 fc0 sc0 ls1 ws9">just<span class="blank _0"></span>amente<span class="blank _7"> </span>isso<span class="blank _7"> </span>que<span class="blank"> </span>impede<span class="blank"> </span>que<span class="blank"> </span>a<span class="blank"> </span>crianç<span class="blank _0"></span>a<span class="blank"> </span>tenha<span class="blank"> </span>uma<span class="blank"> </span>vida<span class="blank"> </span>normal,<span class="blank"> </span>tr<span class="blank _0"></span>anquilizando<span class="blank"> </span>assim<span class="blank"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C..</div><div class="t m0 x1 h6 y18 ff2 fs2 fc0 sc0 ls1 ws12">A<span class="blank _3"> </span>criança<span class="blank"> </span>f<span class="blank _0"></span>oi<span class="blank"> </span>então<span class="blank"> </span>subme<span class="blank _0"></span>tida<span class="blank"> </span>à<span class="blank"> </span>cirurgia<span class="blank"> </span>car<span class="blank _0"></span>díaca<span class="blank"> </span>de<span class="blank"> </span>c<span class="blank _0"></span>orreção<span class="blank"> </span>t<span class="blank _0"></span>otal<span class="blank"> </span>dos<span class="blank"> </span>def<span class="blank _0"></span>eit<span class="blank _0"></span>os<span class="blank"> </span>congênit<span class="blank _0"></span>os.<span class="blank"> </span>A</div><div class="t m0 x1 h6 y19 ff2 fs2 fc0 sc0 ls1 ws3">CIV<span class="blank"> </span>e<span class="blank"> </span>o<span class="blank"> </span>OP<span class="blank"> </span>for<span class="blank _0"></span>am<span class="blank"> </span>f<span class="blank _0"></span>echados,<span class="blank"> </span>a<span class="blank"> </span>v<span class="blank _0"></span>alva<span class="blank"> </span>átrio<span class="blank"> </span>v<span class="blank _0"></span>entricular<span class="blank"> </span>f<span class="blank _0"></span>oi<span class="blank"> </span>dividida<span class="blank"> </span>sem<span class="blank"> </span>regur<span class="blank _0"></span>gitaç<span class="blank _0"></span>ão<span class="blank"> </span>e,<span class="blank _3"> </span>para</div><div class="t m0 x1 h6 y1a ff2 fs2 fc0 sc0 ls1 ws11">diminuir<span class="blank _7"> </span>a<span class="blank _7"> </span>pressão<span class="blank _7"> </span>pulmonar<span class="blank _9"></span>,<span class="blank _7"> </span>o<span class="blank"> </span>f<span class="blank _0"></span>orame<span class="blank"> </span>o<span class="blank _0"></span>val<span class="blank"> </span>f<span class="blank _0"></span>oi<span class="blank"> </span>deixado<span class="blank"> </span>abert<span class="blank _0"></span>o.<span class="blank"> </span>Após<span class="blank"> </span>15<span class="blank"> </span>dias<span class="blank"> </span>de<span class="blank"> </span>pós-oper<span class="blank _0"></span>atório</div><div class="t m0 x1 h6 y1b ff2 fs2 fc0 sc0 ls1 wsb">e<span class="blank _3"> </span>internaç<span class="blank _0"></span>ão<span class="blank"> </span>em<span class="blank"> </span>UTI<span class="blank"> </span>pediátrica,<span class="blank"> </span>a<span class="blank"> </span>crianç<span class="blank _0"></span>a<span class="blank"> </span>foi<span class="blank"> </span>e<span class="blank _0"></span>xtubada<span class="blank"> </span>com<span class="blank"> </span>sucesso<span class="blank"> </span>e,<span class="blank"> </span>após<span class="blank"> </span>72<span class="blank"> </span>hs,<span class="blank"> </span>tr<span class="blank _0"></span>ansf<span class="blank _0"></span>erida</div><div class="t m0 x1 h6 y1c ff2 fs2 fc0 sc0 ls1 ws13">para en<span class="blank _0"></span>f<span class="blank _0"></span>ermaria, recebendo alt<span class="blank _0"></span>a hospitalar no 25º<span class="blank"> </span>dia.</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w1 h0" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg2.png"><div class="c x1 y1 w2 h1"><div class="t m0 x2 h2 y2 ff1 fs0 fc0 sc0 ls1 ws13">BBPM 3 \u2013 TUT<span class="blank _0"></span>ORIA 01</div></div><div class="c x3 y3 w3 h3"><div class="t m0 x4 h4 y4 ff1 fs1 fc0 sc0 ls2">25/03/2021</div></div><div class="c x0 y0 w1 h5"><div class="t m0 x1 h6 y5 ff2 fs2 fc0 sc0 ls1 ws0">M.<span class="blank"> </span>P<span class="blank _1"></span>.<span class="blank"> </span>C.,<span class="blank"> </span>fumante<span class="blank"> </span>(8<span class="blank"> </span>cig<span class="blank _0"></span>arr<span class="blank _0"></span>os/dia),<span class="blank"> </span>etilist<span class="blank _0"></span>a<span class="blank"> </span>crônica<span class="blank _0"></span>,<span class="blank"> </span>primigest<span class="blank _0"></span>a<span class="blank"> </span>sem<span class="blank _2"> </span>acompanhament<span class="blank _0"></span>o</div><div class="t m0 x1 h6 y6 ff2 fs2 fc0 sc0 ls1 ws1">gest<span class="blank _0"></span>acional<span class="blank _3"> </span>nos<span class="blank _3"> </span>dois<span class="blank _3"> </span>primeiros<span class="blank _3"> </span>trimestr<span class="blank _0"></span>es,<span class="blank _3"> </span>procur<span class="blank _0"></span>ou<span class="blank _3"> </span>atendime<span class="blank _0"></span>nto<span class="blank"> </span>par<span class="blank _0"></span>a<span class="blank"> </span>início<span class="blank"> </span>de<span class="blank"> </span>pré-na<span class="blank _0"></span>tal.<span class="blank"> </span>Na</div><div class="t m0 x1 h6 y7 ff2 fs2 fc0 sc0 ls1 ws2">ultrassonogr<span class="blank _0"></span>afia<span class="blank _4"> </span>morfológ<span class="blank _0"></span>ica<span class="blank _4"> </span>foi<span class="blank _4"> </span>detectada<span class="blank"> </span>malf<span class="blank _0"></span>ormação<span class="blank"> </span>c<span class="blank _0"></span>ardíaca.<span class="blank"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C.<span class="blank"> </span>se<span class="blank"> </span>mostr<span class="blank _0"></span>ou</div><div class="t m0 x1 h6 y8 ff2 fs2 fc0 sc0 ls1 ws3">preocupada<span class="blank _5"> </span>e<span class="blank _5"> </span>perguntou<span class="blank _5"> </span>à<span class="blank _5"> </span>obstet<span class="blank _0"></span>ra<span class="blank _5"> </span>por<span class="blank"> </span>que<span class="blank"> </span>tal<span class="blank"> </span>f<span class="blank _0"></span>ato<span class="blank"> </span>ac<span class="blank _0"></span>ontecer<span class="blank _0"></span>a.<span class="blank"> </span>Com<span class="blank"> </span>muit<span class="blank _0"></span>a<span class="blank"> </span>delicadez<span class="blank _0"></span>a<span class="blank"> </span>a</div><div class="t m0 x1 h6 y9 ff2 fs2 fc0 sc0 ls1 ws4">obst<span class="blank _0"></span>etr<span class="blank _0"></span>a<span class="blank _6"> </span>explic<span class="blank _0"></span>ou<span class="blank _6"> </span>que<span class="blank _6"> </span>se<span class="blank"> </span>tr<span class="blank _0"></span>ata<span class="blank _0"></span>va<span class="blank"> </span>da<span class="blank"> </span><span class="ff3 ws5">síndrome<span class="blank"> </span>alc<span class="blank _0"></span>oólica<span class="blank"> </span>fe<span class="blank _0"></span>tal<span class="ff2 ws6">,<span class="blank"> </span>uma<span class="blank"> </span>malf<span class="blank _0"></span>ormação<span class="blank"> </span>c<span class="blank _0"></span>ardíaca</span></span></div><div class="t m0 x1 h6 ya ff2 fs2 fc0 sc0 ls1 ws7">congênit<span class="blank _0"></span>a<span class="blank _7"> </span>devido<span class="blank _7"> </span>à<span class="blank _7"> </span>utilizaç<span class="blank _0"></span>ão<span class="blank _7"> </span>de<span class="blank _7"> </span>bebida<span class="blank _7"> </span>alcoólica<span class="blank"> </span>dur<span class="blank _0"></span>ant<span class="blank _0"></span>e<span class="blank"> </span>a<span class="blank"> </span>gest<span class="blank _0"></span>ação.<span class="blank"> </span>Explicou<span class="blank"> </span>t<span class="blank _0"></span>ambém,<span class="blank"> </span>que<span class="blank"> </span>as</div><div class="t m0 x1 h6 yb ff2 fs2 fc0 sc0 ls1 ws8">malform<span class="blank _0"></span>ações<span class="blank"> </span>congênit<span class="blank _0"></span>as<span class="blank"> </span>result<span class="blank _0"></span>am,<span class="blank"> </span>na<span class="blank"> </span>maioria<span class="blank"> </span>dos<span class="blank"> </span>casos,<span class="blank"> </span>de<span class="blank"> </span>alte<span class="blank _0"></span>raç<span class="blank _0"></span>ões<span class="blank _7"> </span>no<span class="blank _7"> </span>desenvolvimen<span class="blank _0"></span>to</div><div class="t m0 x1 h6 yc ff2 fs2 fc0 sc0 ls1 ws9">embrionário<span class="blank _7"> </span>de<span class="blank _7"> </span>uma<span class="blank _7"> </span>determinada<span class="blank"> </span>es<span class="blank _0"></span>trutur<span class="blank _0"></span>a<span class="blank"> </span>normal,<span class="blank"> </span>obtendo<span class="blank"> </span>um<span class="blank"> </span>desen<span class="blank _0"></span>volviment<span class="blank _0"></span>o<span class="blank"> </span>insuficient<span class="blank _0"></span>e</div><div class="t m0 x1 h6 yd ff2 fs2 fc0 sc0 ls1 wsa">e<span class="blank _7"> </span>incomplet<span class="blank _0"></span>o<span class="blank _7"> </span>a<span class="blank _7"> </span>partir<span class="blank _7"> </span>do<span class="blank _7"> </span>seu<span class="blank _7"> </span>estágio<span class="blank _7"> </span>inicial.<span class="blank _7"> </span>RN<span class="blank _7"> </span>de<span class="blank _7"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C.<span class="blank _7"> </span>nasce<span class="blank"> </span>e,<span class="blank"> </span>após<span class="blank"> </span>três<span class="blank"> </span>dias<span class="blank"> </span>de<span class="blank"> </span>in<span class="blank _0"></span>ternação</div><div class="t m0 x1 h6 ye ff2 fs2 fc0 sc0 ls1 wsb">com<span class="blank _3"> </span>hist<span class="blank _0"></span>órico<span class="blank _3"> </span>de<span class="blank"> </span>SS<span class="blank"> </span>em<span class="blank"> </span>BEE,<span class="blank"> </span>taquipnéia,<span class="blank"> </span>baix<span class="blank _0"></span>o<span class="blank"> </span>g<span class="blank _0"></span>anho<span class="blank"> </span>pondera<span class="blank _0"></span>l<span class="blank"> </span>e<span class="blank"> </span>broncopneumonia<span class="blank"> </span>+<span class="blank"> </span>cianose</div><div class="t m0 x1 h6 yf ff2 fs2 fc0 sc0 ls1 wsc">(Sat<span class="blank"> </span>O<span class="fs3 ls0 v1">2</span><span class="ws9">75%<span class="blank _7"> </span>-<span class="blank _7"> </span>80%)<span class="blank _7"> </span>em<span class="blank _7"> </span>ar<span class="blank _7"> </span>ambient<span class="blank _0"></span>e,<span class="blank"> </span>é<span class="blank"> </span>encaminhada<span class="blank"> </span>par<span class="blank _0"></span>a<span class="blank"> </span>ecoc<span class="blank _0"></span>ardiogr<span class="blank _0"></span>ama<span class="blank"> </span>que<span class="blank"> </span>mostr<span class="blank _0"></span>ou<span class="blank"> </span>def<span class="blank _0"></span>eito</span></div><div class="t m0 x1 h6 y10 ff2 fs2 fc0 sc0 ls1 wsd">tota<span class="blank _0"></span>l<span class="blank _8"> </span>de<span class="blank _a"> </span>septo<span class="blank _8"> </span>atriov<span class="blank _0"></span>entricular<span class="blank _9"></span>,<span class="blank _8"> </span>va<span class="blank _0"></span>lva<span class="blank _a"> </span>atrioventricular<span class="blank _a"> </span>comum,<span class="blank _a"> </span>grande<span class="blank"> </span>comunic<span class="blank _0"></span>ação</div><div class="t m0 x1 h6 y11 ff2 fs2 fc0 sc0 ls1 wse">interve<span class="blank _0"></span>ntricular<span class="blank _b"> </span>(CIV),<span class="blank _b"> </span>uma<span class="blank"> </span>comunicaç<span class="blank _0"></span>ão<span class="blank"> </span>inter<span class="blank _0"></span>atrial<span class="blank"> </span>(CIA)<span class="blank"> </span>tipo<span class="blank"> </span>os<span class="blank _0"></span>tium<span class="blank"> </span>primum<span class="blank"> </span>(OP)<span class="blank"> </span>e<span class="blank"> </span>relação</div><div class="t m0 x1 h6 y12 ff2 fs2 fc0 sc0 ls1 ws9">Qp:Qs<span class="blank _7"> </span>><span class="blank _7"> </span>2.<span class="blank _7"> </span>Na<span class="blank _7"> </span>radiogr<span class="blank _0"></span>afia<span class="blank _7"> </span>de<span class="blank"> </span>t<span class="blank _0"></span>óra<span class="blank _0"></span>x<span class="blank"> </span>havia<span class="blank"> </span>c<span class="blank _0"></span>ardiomeg<span class="blank _0"></span>alia<span class="blank"> </span>modera<span class="blank _0"></span>da<span class="blank"> </span>e<span class="blank"> </span>aumento<span class="blank"> </span>da<span class="blank"> </span>v<span class="blank _0"></span>ascularizaç<span class="blank _0"></span>ão</div><div class="t m0 x1 h6 y13 ff2 fs2 fc0 sc0 ls1 wsf">pulmonar<span class="blank _9"></span>.<span class="blank"> </span>O<span class="blank"> </span>car<span class="blank _0"></span>diologist<span class="blank _0"></span>a<span class="blank"> </span>pediátrico<span class="blank"> </span>e<span class="blank _0"></span>xplica<span class="blank"> </span>a<span class="blank"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C.<span class="blank"> </span>que<span class="blank"> </span>é<span class="blank"> </span>necessário<span class="blank"> </span>submeter<span class="blank"> </span>a<span class="blank"> </span>crianç<span class="blank _0"></span>a<span class="blank"> </span>a</div><div class="t m0 x1 h6 y14 ff2 fs2 fc0 sc0 ls1 ws10">procedimen<span class="blank _0"></span>to<span class="blank"> </span>cirúr<span class="blank _0"></span>gico.<span class="blank"> </span>M.P<span class="blank _1"></span>.C.<span class="blank"> </span>fic<span class="blank _0"></span>a<span class="blank"> </span>muito<span class="blank"> </span>aflit<span class="blank _0"></span>a<span class="blank"> </span>e<span class="blank"> </span>questiona<span class="blank"> </span>se<span class="blank"> </span>realme<span class="blank _0"></span>nte<span class="blank"> </span>é<span class="blank"> </span>necessária<span class="blank _b"> </span>a</div><div class="t m0 x1 h6 y15 ff2 fs2 fc0 sc0 ls1 ws11">cirurgia,<span class="blank _7"> </span>pois<span class="blank _7"> </span>t<span class="blank _0"></span>em<span class="blank _7"> </span>muito<span class="blank _7"> </span>medo<span class="blank _7"> </span>de<span class="blank _7"> </span>perder<span class="blank _7"> </span>seu<span class="blank _7"> </span>bebê.<span class="blank"> </span>O<span class="blank"> </span>c<span class="blank _0"></span>ardiologis<span class="blank _0"></span>ta<span class="blank"> </span>ent<span class="blank _0"></span>ão<span class="blank"> </span>explic<span class="blank _0"></span>a<span class="blank"> </span>que<span class="blank"> </span>o<span class="blank"> </span>def<span class="blank _0"></span>eito</div><div class="t m0 x1 h6 y16 ff2 fs2 fc0 sc0 ls1 wsf">na<span class="blank _b"> </span>anatomia<span class="blank _b"> </span>car<span class="blank _0"></span>díaca<span class="blank _b"> </span>f<span class="blank _0"></span>az<span class="blank _b"> </span>com<span class="blank _b"> </span>que<span class="blank _b"> </span>o<span class="blank _b"> </span>cor<span class="blank _0"></span>ação<span class="blank"> </span>tenha<span class="blank"> </span>sua<span class="blank"> </span>funç<span class="blank _0"></span>ão<span class="blank"> </span>de<span class="blank"> </span>bomba<span class="blank"> </span>prejudicada,<span class="blank"> </span>e<span class="blank"> </span>é</div><div class="t m0 x1 h6 y17 ff2 fs2 fc0 sc0 ls1 ws9">just<span class="blank _0"></span>amente<span class="blank _7"> </span>isso<span class="blank _7"> </span>que<span class="blank"> </span>impede<span class="blank"> </span>que<span class="blank"> </span>a<span class="blank"> </span>crianç<span class="blank _0"></span>a<span class="blank"> </span>tenha<span class="blank"> </span>uma<span class="blank"> </span>vida<span class="blank"> </span>normal,<span class="blank"> </span>tr<span class="blank _0"></span>anquilizando<span class="blank"> </span>assim<span class="blank"> </span>M.P<span class="blank _1"></span>.<span class="blank _0"></span>C..</div><div class="t m0 x1 h6 y18 ff2 fs2 fc0 sc0 ls1 ws12">A<span class="blank _3"> </span>criança<span class="blank"> </span>f<span class="blank _0"></span>oi<span class="blank"> </span>então<span class="blank"> </span>subme<span class="blank _0"></span>tida<span class="blank"> </span>à<span class="blank"> </span>cirurgia<span class="blank"> </span>car<span class="blank _0"></span>díaca<span class="blank"> </span>de<span class="blank"> </span>c<span class="blank _0"></span>orreção<span class="blank"> </span>t<span class="blank _0"></span>otal<span class="blank"> </span>dos<span class="blank"> </span>def<span class="blank _0"></span>eit<span class="blank _0"></span>os<span class="blank"> </span>congênit<span class="blank _0"></span>os.<span class="blank"> </span>A</div><div class="t m0 x1 h6 y19 ff2 fs2 fc0 sc0 ls1 ws3">CIV<span class="blank"> </span>e<span class="blank"> </span>o<span class="blank"> </span>OP<span class="blank"> </span>for<span class="blank _0"></span>am<span class="blank"> </span>f<span class="blank _0"></span>echados,<span class="blank"> </span>a<span class="blank"> </span>v<span class="blank _0"></span>alva<span class="blank"> </span>átrio<span class="blank"> </span>v<span class="blank _0"></span>entricular<span class="blank"> </span>f<span class="blank _0"></span>oi<span class="blank"> </span>dividida<span class="blank"> </span>sem<span class="blank"> </span>regur<span class="blank _0"></span>gitaç<span class="blank _0"></span>ão<span class="blank"> </span>e,<span class="blank _3"> </span>para</div><div class="t m0 x1 h6 y1a ff2 fs2 fc0 sc0 ls1 ws11">diminuir<span class="blank _7"> </span>a<span class="blank _7"> </span>pressão<span class="blank _7"> </span>pulmonar<span class="blank _9"></span>,<span class="blank _7"> </span>o<span class="blank"> </span>f<span class="blank _0"></span>orame<span class="blank"> </span>o<span class="blank _0"></span>val<span class="blank"> </span>f<span class="blank _0"></span>oi<span class="blank"> </span>deixado<span class="blank"> </span>abert<span class="blank _0"></span>o.<span class="blank"> </span>Após<span class="blank"> </span>15<span class="blank"> </span>dias<span class="blank"> </span>de<span class="blank"> </span>pós-oper<span class="blank _0"></span>atório</div><div class="t m0 x1 h6 y1b ff2 fs2 fc0 sc0 ls1 wsb">e<span class="blank _3"> </span>internaç<span class="blank _0"></span>ão<span class="blank"> </span>em<span class="blank"> </span>UTI<span class="blank"> </span>pediátrica,<span class="blank"> </span>a<span class="blank"> </span>crianç<span class="blank _0"></span>a<span class="blank"> </span>foi<span class="blank"> </span>e<span class="blank _0"></span>xtubada<span class="blank"> </span>com<span class="blank"> </span>sucesso<span class="blank"> </span>e,<span class="blank"> </span>após<span class="blank"> </span>72<span class="blank"> </span>hs,<span class="blank"> </span>tr<span class="blank _0"></span>ansf<span class="blank _0"></span>erida</div><div class="t m0 x1 h6 y1c ff2 fs2 fc0 sc0 ls1 ws13">para en<span class="blank _0"></span>f<span class="blank _0"></span>ermaria, recebendo alt<span class="blank _0"></span>a hospitalar no 25º<span class="blank"> </span>dia.</div></div><div class="t m1 x5 h7 y1d ff4 fs4 fc1 sc0 ls1"><span class="fc1 sc0">G</span></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w4 h8" data-page-no="3"><div class="pc pc3 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg3.png"></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf4" class="pf w4 h8" data-page-no="4"><div class="pc pc4 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg4.png"></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf5" class="pf w4 h8" data-page-no="5"><div class="pc pc5 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg5.png"></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf6" class="pf w4 h8" data-page-no="6"><div class="pc pc6 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg6.png"><div class="t m2 x6 ha y1e ff5 fs5 fc2 sc0 ls1">EMBRIOLOGIA</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf7" class="pf w4 h8" data-page-no="7"><div class="pc pc7 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg7.png"><div class="t m3 x7 hb y1f ff6 fs6 fc1 sc0 ls1">E</div><div class="t m4 x8 hc y20 ff6 fs7 fc1 sc0 ls3">ao</div><div class="t m5 x7 hd y21 ff6 fs8 fc1 sc0 ls1">S</div><div class="t m6 x7 he y22 ff6 fs9 fc1 sc0 ls1">3</div><div class="t m7 x9 hf y23 ff4 fsa fc1 sc0 ls1">:</div><div class="t m8 x9 h10 y24 ff6 fsb fc1 sc0 ls1">a</div><div class="t m9 x8 h11 y25 ff6 fsc fc1 sc0 ls1">*</div><div class="t ma x9 h12 y26 ff7 fsd fc1 sc0 ls1">:</div><div class="t mb x8 h13 y27 ff8 fse fc1 sc0 ls1">:</div><div class="t mc x8 h14 y28 ff4 fsf fc1 sc0 ls1">±</div><div class="t md x9 h15 y29 ff6 fs10 fc1 sc0 ls1">S</div><div class="t me x9 h16 y2a ff9 fs11 fc1 sc0 ls1">E</div><div class="t mf xa h17 y2b ffa fs12 fc1 sc0 ls1">÷</div><div class="t m10 xb h18 y2c ffb fs13 fc1 sc0 ls1">\u2466</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf8" class="pf w4 h8" data-page-no="8"><div class="pc pc8 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg8.png"></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf9" class="pf w4 h8" data-page-no="9"><div class="pc pc9 w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bg9.png"><div class="t m11 xc h19 y2d ff5 fs14 fc2 sc0 ls1 ws13">Qp/qs > 2</div><div class="t m12 xd h1a y2e ff6 fs15 fc1 sc0 ls1">E</div><div class="t m13 xe h1b y2f ff6 fs16 fc1 sc0 ls1">E</div><div class="t m14 xf h1c y30 ff6 fs17 fc1 sc0 ls1">e</div><div class="t m15 xe h1d y31 ff6 fs18 fc1 sc0 ls1">o</div><div class="t m16 x10 h1e y32 ff6 fs19 fc1 sc0 ls1">S</div><div class="t m17 x11 h1f y33 ff6 fs1a fc1 sc0 ls1">+</div><div class="t m18 x10 h20 y34 ff6 fs1b fc1 sc0 ls1">o</div><div class="t m19 x12 h21 y35 ff6 fs1c fc1 sc0 ls1">§</div><div class="t m1a xe h22 y36 ff6 fs1d fc1 sc0 ls1">S</div><div class="t m1b x10 h23 y37 ff6 fs1e fc1 sc0 ls1">E</div><div class="t m1c xd h24 y38 ff6 fs1f fc1 sc0 ls1">-</div><div class="t m1d xe h25 y39 ff6 fs20 fc1 sc0 ls1">8</div><div class="t m1e x10 h26 y3a ff6 fs21 fc1 sc0 ls1">o</div><div class="t m1f x12 h27 y3b ff6 fs22 fc1 sc0 ls4">a-</div><div class="t m20 x13 h28 y3c ff6 fs23 fc1 sc0 ls1">-</div><div class="t m21 x12 h29 y3d ff6 fs24 fc1 sc0 ls1">></div><div class="t m22 xe h2a y3e ff6 fs25 fc1 sc0 ls1">8</div><div class="t m23 x10 h2b y3f ff6 fs26 fc1 sc0 ls1">v</div><div class="t m24 x14 h2c y40 ffc fs27 fc1 sc0 ls5">e-</div><div class="t m25 xe h2d y41 ff6 fs28 fc1 sc0 ls6">Ei</div><div class="t m26 x7 h2e y42 ff6 fs29 fc1 sc0 ls7 ws14">todo</div><div class="t m27 x10 h2f y43 ff6 fs2a fc1 sc0 ls1">o</div><div class="t m28 x12 h30 y44 ff6 fs2b fc1 sc0 ls1">O</div><div class="t m29 x15 h31 y45 ff6 fs2c fc1 sc0 ls1">e</div><div class="t m2a x10 h32 y46 ff6 fs2d fc1 sc0 ls8">os</div><div class="t m2b x12 h33 y47 ff6 fs2e fc1 sc0 ls1">§</div><div class="t m2c x15 h34 y48 ff6 fs2f fc1 sc0 ls1">u</div><div class="t m2d x10 h35 y49 ff6 fs30 fc1 sc0 ls1">o</div><div class="t m2e xd h36 y4a ff6 fs31 fc1 sc0 ls1">9</div><div class="t m2f xe h37 y4b ff6 fs32 fc1 sc0 ls9">ou</div><div class="t m30 x10 h38 y4c ff6 fs33 fc1 sc0 ls1">o</div><div class="t m31 x11 h39 y4d ff6 fs34 fc1 sc0 ls1">±</div><div class="t m32 x10 h3a y4e ff6 fs35 fc1 sc0 ls1">E</div><div class="t m33 x7 h3b y4f ff6 fs36 fc1 sc0 ls1">E</div><div class="t m34 xe h3c y50 ff6 fs37 fc1 sc0 ls1">o</div><div class="t m35 x10 h3d y51 ff6 fs38 fc1 sc0 ls1">q</div><div class="t m36 x11 h3e y52 ff6 fs39 fc1 sc0 lsa">1-</div><div class="t m37 x9 h3f y53 ff6 fs3a fc1 sc0 ls1">e</div><div class="t m38 xe h40 y54 ff6 fs3b fc1 sc0 ls1">o</div><div class="t m39 x10 h41 y55 ff6 fs3c fc1 sc0 ls1">n</div><div class="t m3a x12 h42 y56 ff6 fs3d fc1 sc0 ls1">o</div><div class="t m3b xe h43 y57 ff6 fs3e fc1 sc0 lsb">rio</div><div class="t m3c x14 h44 y58 ff6 fs3f fc1 sc0 ls1">-</div><div class="t m3d x12 h45 y59 ff6 fs40 fc1 sc0 ls1">-</div><div class="t m3e xe h46 y5a ff6 fs41 fc1 sc0 ls1">E</div><div class="t m3f x10 h47 y5b ff6 fs42 fc1 sc0 ls1">o</div><div class="t m40 x14 h48 y5c ff6 fs43 fc1 sc0 ls1">E</div><div class="t m41 xe h49 y5d ff6 fs44 fc1 sc0 ls1">o</div><div class="t m42 x10 h4a y5e ff6 fs45 fc1 sc0 ls1">u</div><div class="t m43 x14 h4b y5f ff6 fs46 fc1 sc0 ls1">\u2022</div><div class="t m44 x11 h4c y60 ff6 fs47 fc1 sc0 ls1">E</div><div class="t m45 xf h4d y61 ff6 fs48 fc1 sc0 ls1">E</div><div class="t m46 x14 h4e y62 ff6 fs49 fc1 sc0 ls1">E</div><div class="t m47 xe h4f y63 ff6 fs4a fc1 sc0 ls1">n</div><div class="t m48 x10 h50 y64 ff6 fs4b fc1 sc0 ls1">-</div><div class="t m49 xd h51 y65 ff6 fs4c fc1 sc0 ls1">\u2022</div><div class="t m4a x11 h52 y66 ff6 fs4d fc1 sc0 ls1">F</div><div class="t m4b x10 h53 y67 ff6 fs4e fc1 sc0 ls1">E</div><div class="t m4c xe h54 y68 ff6 fs4f fc1 sc0 ls1">o</div><div class="t m4d x10 h55 y69 ff6 fs50 fc1 sc0 ls1">o</div><div class="t m4e xd h56 y6a ff6 fs51 fc1 sc0 ls1">o</div><div class="t m4f xe h57 y6b ff6 fs52 fc1 sc0 ls1">=</div><div class="t m50 x13 h58 y6c ff6 fs53 fc1 sc0 ls1">o</div><div class="t m51 x12 h59 y6d ff6 fs54 fc1 sc0 ls1">J</div><div class="t m52 x15 h5a y6e ff6 fs55 fc1 sc0 ls1">°</div><div class="t m53 x13 h5b y6f ff6 fs56 fc1 sc0 ls1">,</div><div class="t m54 x10 h5c y70 ff6 fs57 fc1 sc0 ls1">S</div><div class="t m55 xd h5d y71 ffd fs58 fc1 sc0 ls1">\u2192</div><div class="t m56 xf h5e y72 ff6 fs59 fc1 sc0 ls1">e</div><div class="t m57 xd h5f y73 ffd fs5a fc1 sc0 ls1">¢</div><div class="t m58 xe h60 y74 ff6 fs5b fc1 sc0 lsc">Eai</div><div class="t m59 xd h61 y75 ff6 fs5c fc1 sc0 ls1">ô</div><div class="t m5a x11 h62 y76 ff6 fs5d fc1 sc0 ls1">e</div><div class="t m5b x10 h63 y77 ff6 fs5e fc1 sc0 ls1">o</div><div class="t m5c xd h64 y78 ff6 fs5f fc1 sc0 ls1">-</div><div class="t m5d x10 h65 y79 ff6 fs60 fc1 sc0 ls1">-</div><div class="t m5e x14 h66 y7a ff6 fs61 fc1 sc0 ls1">õ</div><div class="t m5f xe h67 y7b ff6 fs62 fc1 sc0 ls1">é</div><div class="t m60 xf h68 y7c ff6 fs63 fc1 sc0 lsd">-7</div><div class="t m61 x16 h69 y7d ff6 fs64 fc1 sc0 ls1">É</div><div class="t m62 x12 h6a y7e ff6 fs65 fc1 sc0 ls1">=</div><div class="t m63 xe h6b y7f ffe fs66 fc1 sc0 ls1">\udb8b\udc1b</div><div class="t m64 x13 h6c y80 ff6 fs67 fc1 sc0 ls1">e</div><div class="t m65 x16 h6d y81 ff6 fs68 fc1 sc0 ls1">o</div><div class="t m66 x14 h6e y82 ff6 fs69 fc1 sc0 ls1">e</div><div class="t m67 x15 h6f y83 ff6 fs6a fc1 sc0 ls1">ã</div><div class="t m68 x16 h70 y84 ffd fs6b fc1 sc0 ls1">\u2190</div><div class="t m69 xd h71 y85 ff6 fs6c fc1 sc0 ls1">õ</div><div class="t m6a xe h72 y86 ff6 fs6d fc1 sc0 ls1">ê</div><div class="t m6b x17 h73 y87 ff6 fs6e fc1 sc0 ls1">E</div><div class="t m6c x16 h74 y88 ffd fs6f fc1 sc0 ls1">\u2190</div><div class="t m6d xe h75 y89 ffd fs70 fc1 sc0 ls1">×</div><div class="t m6e xd h76 y8a ff6 fs71 fc1 sc0 ls1">E</div><div class="t m6f x15 h77 y8b ff6 fs72 fc1 sc0 ls1">o</div><div class="t m70 x13 h78 y8c ff6 fs73 fc1 sc0 ls1">q</div><div class="t m71 x18 h79 y8d ff6 fs74 fc1 sc0 ls1">e</div><div class="t m72 xd h7a y8e ff6 fs75 fc1 sc0 lse">to</div><div class="t m73 x10 h7b y8f ff6 fs76 fc1 sc0 lsf">so</div><div class="t m74 x19 h7c y90 fff fs77 fc1 sc0 ls1">}</div><div class="t m75 xd h7d y91 ff6 fs78 fc1 sc0 ls1">o</div><div class="t m76 x15 h7e y92 ff6 fs79 fc1 sc0 ls1">s</div><div class="t m77 x10 h7f y93 ff6 fs7a fc1 sc0 ls1">u</div><div class="t m78 xd h80 y94 ff6 fs7b fc1 sc0 ls10">vs</div><div class="t m79 x15 h81 y95 ff6 fs7c fc1 sc0 ls1">o</div><div class="t m7a x10 h82 y96 ff6 fs7d fc1 sc0 ls1">E</div><div class="t m7b x15 h83 y97 ff6 fs7e fc1 sc0 ls1">E</div><div class="t m7c x17 h84 y98 ff6 fs7f fc1 sc0 ls1">.</div><div class="t m7d x1a h85 y99 ff6 fs80 fc1 sc0 ls1">-</div><div class="t m7e x16 h86 y9a ff6 fs81 fc1 sc0 ls1">o</div><div class="t m7f x12 h87 y9b ff6 fs82 fc1 sc0 ls1">°</div><div class="t m80 xe h88 y9c ff6 fs83 fc1 sc0 ls1">=</div><div class="t m81 x17 h89 y9d ff6 fs84 fc1 sc0 ls1">e</div><div class="t m82 x19 h8a y9e ff6 fs85 fc1 sc0 ls11">os</div><div class="t m83 xd h8b y9f ff6 fs86 fc1 sc0 ls1">u</div><div class="t m84 x15 h8c ya0 ff6 fs87 fc1 sc0 ls1">-</div><div class="t m85 x1a h8d ya1 ff6 fs88 fc1 sc0 ls1">o</div><div class="t m86 x16 h8e ya2 ff6 fs89 fc1 sc0 ls1">-</div><div class="t m87 xd h8f ya3 ff6 fs8a fc1 sc0 ls1">></div><div class="t m88 x1a h90 ya4 ff6 fs8b fc1 sc0 ls12">e-</div><div class="t m89 xd h91 ya5 ff6 fs8c fc1 sc0 ls1">A</div><div class="t m8a x15 h92 ya6 ff6 fs8d fc1 sc0 ls1">-</div><div class="t m8b x1a h93 ya7 ff6 fs8e fc1 sc0 ls13">se</div><div class="t m8c x15 h94 ya8 ffd fs8f fc1 sc0 ls1">×</div><div class="t m8d x1a h95 ya9 ff6 fs90 fc1 sc0 ls1">d</div><div class="t m8e x19 h96 yaa ff6 fs91 fc1 sc0 ls1">j</div><div class="t m8f xd h97 yab ff6 fs92 fc1 sc0 ls1">u</div><div class="t m90 x11 h98 yac ff6 fs93 fc1 sc0 ls1">e</div><div class="t m91 x10 h99 yad ff6 fs94 fc1 sc0 ls1">Ô</div><div class="t m92 x18 h9a yae ff6 fs95 fc1 sc0 ls1">~</div><div class="t m93 x7 h9b yaf ff6 fs96 fc1 sc0 ls1">±</div><div class="t m94 x11 h9c yb0 ff6 fs97 fc1 sc0 ls1">o</div><div class="t m95 x17 h9d yb1 ff6 fs98 fc1 sc0 ls1">o</div><div class="t m96 x19 h9e yb2 ff6 fs99 fc1 sc0 ls1">E</div><div class="t m97 xd h9f yb3 ff6 fs9a fc1 sc0 ls1">E</div><div class="t m98 x15 ha0 yb4 ff6 fs9b fc1 sc0 ls1">o</div><div class="t m99 x10 ha1 yb5 ff6 fs9c fc1 sc0 ls14">ar</div><div class="t m9a xd ha2 yb6 ff6 fs9d fc1 sc0 ls1">Õ</div><div class="t m9b x15 ha3 yb7 ff6 fs9e fc1 sc0 ls1">o</div><div class="t m9c x16 ha4 yb8 ff6 fs9f fc1 sc0 ls1">O</div><div class="t m9d x12 ha5 yb9 ffd fsa0 fc1 sc0 ls1">\u2190</div><div class="t m9e x11 ha6 yba ff6 fsa1 fc1 sc0 ls1">e</div><div class="t m9f x10 ha7 ybb ff6 fsa2 fc1 sc0 ls1">o</div><div class="t ma0 x16 ha8 ybc ff6 fsa3 fc1 sc0 ls1">.</div><div class="t ma1 x1b ha9 ybd ff4 fsa4 fc1 sc0 ls1">A</div><div class="t ma2 x12 haa ybe ff6 fsa5 fc1 sc0 ls1">ô</div><div class="t ma3 xe hab ybf ff6 fsa6 fc1 sc0 ls1">é</div><div class="t ma4 x10 hac yc0 ff6 fsa7 fc1 sc0 ls1">a</div><div class="t ma5 x16 had yc1 ff6 fsa8 fc1 sc0 ls1">R</div><div class="t ma6 xd hae yc2 ff6 fsa9 fc1 sc0 ls1">=</div><div class="t ma7 xe haf yc3 ff6 fsaa fc1 sc0 ls1">.</div><div class="t ma8 xe hb0 yc4 ff6 fsab fc1 sc0 ls1">-</div><div class="t ma9 x10 hb1 yc5 ff6 fsac fc1 sc0 ls1">=</div><div class="t maa x19 hb2 yc6 ff6 fsad fc1 sc0 ls1">E</div><div class="t mab x7 hb3 yc7 ff6 fsae fc1 sc0 ls15">TJ</div><div class="t mac x10 hb4 yc8 ff6 fsaf fc1 sc0 ls1">e</div><div class="t mad x16 hb5 yc9 ff6 fsb0 fc1 sc0 ls1">n</div><div class="t mae xd hb6 yca ff6 fsb1 fc1 sc0 ls16">se</div><div class="t maf x10 hb7 ycb ff6 fsb2 fc1 sc0 ls17">oo</div><div class="t mb0 x18 hb8 ycc ff6 fsb3 fc1 sc0 ls1">e</div><div class="t mb1 xd hb9 ycd ff6 fsb4 fc1 sc0 ls1">o</div><div class="t mb2 x15 hba yce ff6 fsb5 fc1 sc0 ls1">3</div><div class="t mb3 x10 hbb ycf ff6 fsb6 fc1 sc0 ls1">E</div><div class="t mb4 x19 hbc yd0 ff6 fsb7 fc1 sc0 ls1">S</div><div class="t mb5 x12 hbd yd1 ff6 fsb8 fc1 sc0 ls1">õ</div><div class="t mb6 x1c hbe yd2 ff6 fsb9 fc1 sc0 ls1">-</div><div class="t mb7 x16 hbf yd3 ff6 fsba fc1 sc0 ls1">o</div><div class="t mb8 x9 hc0 yd4 ff6 fsbb fc1 sc0 ls18">e-</div><div class="t mb9 x15 hc1 yd5 ff6 fsbc fc1 sc0 ls1">s</div><div class="t mba x17 hc2 yd6 ff6 fsbd fc1 sc0 ls1">Ô</div><div class="t mbb x1d hc3 yd7 ff6 fsbe fc1 sc0 ls1">-</div><div class="t mbc x12 hc4 yd8 ff6 fsbf fc1 sc0 ls1">E</div><div class="t mbd xe hc5 yd9 ff6 fsc0 fc1 sc0 ls1">F</div><div class="t mbe x17 hc6 yda ff6 fsc1 fc1 sc0 ls1">E</div><div class="t mbf x18 hc7 ydb ff6 fsc2 fc1 sc0 ls1">E</div><div class="t mc0 xd hc8 ydc ff6 fsc3 fc1 sc0 ls1">o</div><div class="t mc1 xe hc9 ydd ff6 fsc4 fc1 sc0 ls1">o</div><div class="t mc2 x10 hca yde ff6 fsc5 fc1 sc0 ls19">Irv</div><div class="t mc3 xd hcb ydf ff6 fsc6 fc1 sc0 ls1">-</div><div class="t mc4 x11 hcc ye0 ff6 fsc7 fc1 sc0 ls1">E</div><div class="t mc5 x19 hcd ye1 ff6 fsc8 fc1 sc0 ls1a">as</div><div class="t mc6 x7 hce ye2 ff6 fsc9 fc1 sc0 ls1b">-7</div><div class="t mc7 x17 hcf ye3 ff6 fsca fc1 sc0 ls1">n</div><div class="t mc8 x16 hd0 ye4 ff6 fscb fc1 sc0 ls1">n</div><div class="t mc9 xd hd1 ye5 ff6 fscc fc1 sc0 ls1">-</div><div class="t mca x11 hd2 ye6 ff6 fscd fc1 sc0 ls1">e</div><div class="t mcb x17 hd3 ye7 ff6 fsce fc1 sc0 ls1">o</div><div class="t mcc x19 hd4 ye8 ff6 fscf fc1 sc0 ls1">o</div><div class="t mcd xd hd5 ye9 ff6 fsd0 fc1 sc0 ls1">°</div><div class="t mce xe hd6 yea ff6 fsd1 fc1 sc0 ls1">s</div><div class="t mcf x17 hd7 yeb ff6 fsd2 fc1 sc0 ls1">E</div><div class="t md0 x18 hd8 yec ff6 fsd3 fc1 sc0 ls1c">ao</div><div class="t md1 x7 hd9 yed ff6 fsd4 fc1 sc0 ls1d">g-</div><div class="t md2 xe hda yee ff6 fsd5 fc1 sc0 ls1">o</div><div class="t md3 xf hdb yef ff6 fsd6 fc1 sc0 ls1">e</div><div class="t md4 x16 hdc yf0 ff6 fsd7 fc1 sc0 ls1">o</div><div class="t md5 xe hdd yf1 ff6 fsd8 fc1 sc0 ls1">E</div><div class="t md6 x17 hde yf2 ff6 fsd9 fc1 sc0 ls1">s</div><div class="t md7 x16 hdf yf3 ff6 fsda fc1 sc0 ls1e">op</div><div class="t md8 x9 he0 yf4 ff6 fsdb fc1 sc0 ls1">-</div><div class="t md9 xe he1 yf5 ff6 fsdc fc1 sc0 ls1">E</div><div class="t mda x17 he2 yf6 ff6 fsdd fc1 sc0 ls1">ü</div><div class="t mdb x16 he3 yf7 ff6 fsde fc1 sc0 ls1">n</div><div class="t mdc x12 he4 yf8 ff6 fsdf fc1 sc0 ls1">O</div><div class="t mdd x1e he5 yf9 ff6 fse0 fc1 sc0 ls1f ws15">Rep<span class="blank"> </span>a<span class="blank"> </span>ro</div><div class="t mde x1f he6 yfa ff6 fse1 fc1 sc0 ls1">:</div><div class="t mdf x20 he7 yfb ff6 fse2 fc1 sc0 ls20 ws16">cirúrgico</div><div class="t me0 x4 he8 yfc ff6 fse3 fc1 sc0 ls21">ou</div><div class="t me1 x21 he9 yfd ff6 fse4 fc1 sc0 ls22">pela</div><div class="t me2 x22 hea yfe ff6 fse5 fc1 sc0 ls23 ws17">inserção</div><div class="t me3 x23 heb yff ff6 fse6 fc1 sc0 ls24">de</div><div class="t me4 x24 hec y100 ff6 fse7 fc1 sc0 ls1">-</div><div class="t me5 x3 hed y101 ff6 fse8 fc1 sc0 ls25">CIA</div><div class="t me6 x25 hee y102 ff6 fse9 fc1 sc0 ls26 ws13">significativa</div><div class="t me7 x26 hef y103 ff6 fsea fc1 sc0 ls1">:</div><div class="t me8 x27 hf0 y104 ff6 fseb fc1 sc0 ls27">Qp</div><div class="t me9 x28 hf1 y105 ff6 fsec fc1 sc0 ls28">los</div><div class="t mea x29 hf2 y106 ff6 fsed fc1 sc0 ls1">></div><div class="t meb x2a hf3 y107 ff6 fsee fc1 sc0 ls29 ws18">1,5</div><div class="t mec x20 hf4 y108 ff6 fsef fc1 sc0 ls2a ws19">cateter</div><div class="t med x1b hf5 y109 ff6 fsf0 fc1 sc0 ls2b">com</div><div class="t mee x2b hf6 y10a ff6 fsf1 fc1 sc0 ls2c ws1a">exp<span class="blank"> </span>a<span class="blank"> </span>n<span class="blank"> </span>s<span class="blank"> </span>o<span class="blank"> </span>r</div><div class="t mef x2c hf7 y10b ff6 fsf2 fc1 sc0 ls2d ws1b">lshuntt</div><div class="t mf0 x2d hf8 y10c ff6 fsf3 fc1 sc0 ls2e">pela</div><div class="t mf1 x6 hf9 y10d ff6 fsf4 fc1 sc0 ls2f ws1c">VCI</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pfa" class="pf w4 h8" data-page-no="a"><div class="pc pca w4 h8"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w5 h9" alt="" src="https://files.passeidireto.com/22d85b5f-7726-4bab-a3a0-59613dd7e3fd/bga.png"><div class="t mf2 x2e hfa y10e ff4 fsf5 fc1 sc0 ls32">CIA</div><div class="t mf3 x2f hfb y10f ff6 fsf6 fc1 sc0 ls1">(</div><div class="t mf4 x30 hfc y110 ff6 fsf7 fc1 sc0 ls33 ws1d">Comunicação</div><div class="t mf5 x31 hfd y111 ff6 fsf8 fc1 sc0 ls34 ws1e">Interatrial</div><div class="t mf6 x32 hfe y112 ff6 fsf9 fc1 sc0 ls1">)</div><div class="t mf7 x10 hff y113 ff6 fsfa fc1 sc0 ls1">o</div><div class="t mf8 x1d h100 y114 ff10 fsfb fc1 sc0 ls35">CIA</div><div class="t mf9 x1 h101 y115 ff6 fsfc fc1 sc0 ls36">de</div><div class="t mfa x33 h102 y116 ff6 fsfd fc1 sc0 ls37">OS</div><div class="t mfb x34 h103 y117 ff6 fsfe fc1 sc0 ls1">:</div><div class="t mfc x35 h104 y118 ff6 fsff fc1 sc0 ls38 ws1f">50-70<span class="blank _0"></span>.1</div><div class="t mfd x21 h105 y119 ff6 fs100 fc1 sc0 ls1">.</div><div class="t mfe x36 h106 y11a ff11 fs101 fc1 sc0 ls1">µ</div><div class="t mff x37 h107 y11b ff6 fs102 fc1 sc0 ls39">Cia</div><div class="t m100 x38 h108 y11c ff6 fs103 fc1 sc0 ls3a">de</div><div class="t m101 x39 h109 y11d ff6 fs104 fc1 sc0 ls3b">OP</div><div class="t m102 x3a h10a y11e ff6 fs105 fc1 sc0 ls1">:</div><div class="t m103 x3b h10b y11f ff6 fs106 fc1 sc0 ls3c">30-1</div><div class="t m104 x3c h10c y120 ff6 fs107 fc1 sc0 ls1">.</div><div class="t m105 x3d h10d y121 ff6 fs108 fc1 sc0 ls3d">dos</div><div class="t m106 x3e h10e y122 ff6 fs109 fc1 sc0 ls3e ws20">casos</div><div class="t m107 x17 h10f y123 ff6 fs10a fc1 sc0 ls1">\u2022</div><div class="t m108 x18 h110 y124 ff6 fs10b fc1 sc0 ls3f">Shunt</div><div class="t m109 x3f h111 y125 ff6 fs10c fc1 sc0 ls40">E.</div><div class="t m10a x1 h112 y126 ff6 fs10d fc1 sc0 ls1">D</div><div class="t m10b x40 h113 y127 ff6 fs10e fc1 sc0 ls30 ws21">ocorre</div><div class="t m10c x1f h114 y128 ff6 fs10f fc1 sc0 ls41 ws22">atrav<span class="blank _0"></span>és</div><div class="t m10d x41 h115 y129 ff6 fs110 fc1 sc0 ls42">da</div><div class="t m10e x4 h116 y12a ff6 fs111 fc1 sc0 ls43">CIA</div><div class="t m10f x42 h117 y12b ff6 fs112 fc1 sc0 ls1">,</div><div class="t m110 x43 h118 y12c ff6 fs113 fc1 sc0 ls44">com</div><div class="t m111 x44 h119 y12d ff6 fs114 fc1 sc0 ls45 ws23">sobrecar<span class="blank _0"></span>ga</div><div class="t m112 x3a h11a y12e ff6 fs115 fc1 sc0 ls46 ws24">vot<span class="blank"> </span>é<span class="blank"> </span>m<span class="blank"> </span>i<span class="blank"> </span>c<span class="blank"> </span>a</div><div class="t m113 x45 h11b y12f ff6 fs116 fc1 sc0 ls47 ws25">para</div><div class="t m114 x3e h11c y130 ff6 fs117 fc1 sc0 ls1">o</div><div class="t m115 x25 h11d y131 ff6 fs118 fc1 sc0 ls48">AD</div><div class="t m116 x46 h11e y132 ff6 fs119 fc1 sc0 ls1">e</div><div class="t m117 x47 h11f y133 ff6 fs11a fc1 sc0 ls1">o</div><div class="t m118 x48 h120 y134 ff6 fs11b fc1 sc0 ls49">VD</div><div class="t m119 x49 h121 y135 ff6 fs11c fc1 sc0 ls1">e</div><div class="t m11a x4a h122 y136 ff6 fs11d fc1 sc0 ls4a">há</div><div class="t m11b x4b h123 y137 ff6 fs11e fc1 sc0 ls4b ws26">aumento</div><div class="t m11c x19 h124 y138 ff6 fs11f fc1 sc0 ls4c">do</div><div class="t m11d x4c h125 y139 ff6 fs120 fc1 sc0 ls31 ws27">twxo</div><div class="t m11e x1 h126 y13a ff6 fs121 fc1 sc0 ls4d ws28">sanguíneo</div><div class="t m11f x34 h127 y13b ff6 fs122 fc1 sc0 ls4e ws29">pulmonar</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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