{"id":312,"date":"2025-11-05T16:56:32","date_gmt":"2025-11-05T16:56:32","guid":{"rendered":"https:\/\/cirurgiacardiovascular.com\/?page_id=312"},"modified":"2025-11-26T18:35:24","modified_gmt":"2025-11-26T18:35:24","slug":"comunicacao-interventricular-civ","status":"publish","type":"page","link":"https:\/\/drciroreis.com.br\/?page_id=312","title":{"rendered":"Comunica\u00e7\u00e3o Interventricular (CIV)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"312\" class=\"elementor elementor-312\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-243e944 e-flex e-con-boxed e-con e-parent\" data-id=\"243e944\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c58cf56 elementor-widget elementor-widget-heading\" data-id=\"c58cf56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dr ciro reis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd1ad0d elementor-widget elementor-widget-heading\" data-id=\"dd1ad0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comunica\u00e7\u00e3o Interventricular (CIV)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-931d41c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"931d41c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b>Resumo em 1 minuto<\/b><strong>:<\/strong>\u00a0\u00e9 um\u00a0<strong>orif\u00edcio cong\u00eanito<\/strong>\u00a0entre os ventr\u00edculos que permite passagem de sangue de\u00a0<strong>esquerda \u2192 direita<\/strong>, sobrecarregando pulm\u00f5es e cora\u00e7\u00e3o direito.\u00a0<strong>CIVs pequenas<\/strong>\u00a0costumam ser\u00a0<strong>assintom\u00e1ticas<\/strong>\u00a0e muitas\u00a0<strong>fecham sozinhas<\/strong>;\u00a0<strong>CIVs moderadas \/grandes<\/strong>\u00a0podem causar\u00a0<strong>falta de ar<\/strong>,\u00a0<strong>infec\u00e7\u00f5es respirat\u00f3rias<\/strong>,\u00a0<strong>dificuldade para ganhar peso<\/strong>\u00a0(em crian\u00e7as) e, a longo prazo,\u00a0<strong>hipertens\u00e3o pulmonar<\/strong>. O tratamento vai de\u00a0<strong>acompanhamento<\/strong>\u00a0a\u00a0<strong>fechamento por cirurgia<\/strong>\u00a0ou, em casos selecionados,\u00a0<strong>por cateter<\/strong>. A decis\u00e3o \u00e9 do\u00a0<strong>Heart Team<\/strong>\u00a0(cardiologia pedi\u00e1trica\/adulto cong\u00eanito, hemodin\u00e2mica e cirurgia).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59a1a8a elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"59a1a8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=55062999875623&#038;text=Ol%C3%A1%2CGostaria+de+agendar+uma+consulta+com+o+Dr.+Ciro+Reis.+&#038;type=phone_number&#038;app_absent=0\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">ENTRE EM CONTATO AGORA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33f139e e-flex e-con-boxed e-con e-parent\" data-id=\"33f139e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95217d9 elementor-widget elementor-widget-heading\" data-id=\"95217d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. O que \u00e9?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ec995d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7ec995d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A\u00a0<strong>CIV<\/strong>\u00a0\u00e9 um\u00a0<strong>defeito no septo<\/strong>\u00a0que separa os ventr\u00edculos. O tipo mais comum \u00e9 o\u00a0<strong>perimembranoso<\/strong>; h\u00e1 tamb\u00e9m\u00a0<strong>musculares<\/strong>,\u00a0<strong>de via de sa\u00edda (supracristais)<\/strong>\u00a0e\u00a0<strong>de entrada<\/strong>\u00a0(associadas a defeitos do canal AV).<br \/><strong>Como se diagnostica?<\/strong><\/p><p><strong>\u00a0<\/strong><\/p><ul><li><strong>Exame f\u00edsico:<\/strong>geralmente h\u00e1\u00a0<strong>sopro holossist\u00f3lico<\/strong>.<\/li><li><strong>Ecocardiograma:<\/strong>confirma o defeito, mede\u00a0<strong>tamanho<\/strong>,\u00a0<strong>fluxo (shunt)<\/strong>\u00a0e o impacto no cora\u00e7\u00e3o\/pulm\u00f5es.<\/li><li><strong>Outros exames<\/strong>(em situa\u00e7\u00f5es espec\u00edficas): resson\u00e2ncia, cateterismo.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b339a07 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"b339a07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"270\" height=\"244\" src=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Imagem1.jpg\" class=\"attachment-large size-large wp-image-318\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbf1d22 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"bbf1d22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5549b61 elementor-widget elementor-widget-heading\" data-id=\"5549b61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2. Quais s\u00e3o os sinais e sintomas?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b1f0c8 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"3b1f0c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li><strong>CIV pequena:<\/strong>muitas vezes&nbsp;<strong>sem sintomas<\/strong>; descoberta por sopro em consulta de rotina.<\/li>\n<li><strong>CIV moderada\/grande (especialmente em beb\u00eas):<\/strong>\n<ul>\n<li><strong>Falta de ar<\/strong>, cansa\u00e7o ao mamar ou ao choro<\/li>\n<li><strong>Dificuldade para ganhar peso<\/strong>, sudorese<\/li>\n<li><strong>Infec\u00e7\u00f5es respirat\u00f3rias<\/strong>repetidas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Em crian\u00e7as maiores\/adultos n\u00e3o tratados:<\/strong><strong>intoler\u00e2ncia ao esfor\u00e7o<\/strong>,&nbsp;<strong>palpita\u00e7\u00f5es<\/strong>, sopro; em CIV de via de sa\u00edda, pode surgir&nbsp;<strong>insufici\u00eancia a\u00f3rtica<\/strong>&nbsp;(vazamento da v\u00e1lvula a\u00f3rtica).<\/li>\n<\/ul><div><br><\/div>\n<p><strong>Aten\u00e7\u00e3o \u2013 sinais de alerta:<\/strong>&nbsp;respira\u00e7\u00e3o muito r\u00e1pida,&nbsp;<strong>dificuldade para alimentar<\/strong>,&nbsp;<strong>baixa oxigena\u00e7\u00e3o<\/strong>,&nbsp;<strong>l\u00e1bios arroxeados<\/strong>, desmaio, dor tor\u00e1cica \u2014 procurar&nbsp;<strong>pronto atendimento<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c30b176 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c30b176\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5678ad elementor-widget elementor-widget-heading\" data-id=\"f5678ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">3. O que esperar? (hist\u00f3ria natural)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4dc78ca elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"4dc78ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>CIVs pequenas<\/strong>: muitas<strong>fecham espontaneamente<\/strong>, sobretudo as\u00a0<strong>musculares<\/strong>; quando permanecem, costumam ter\u00a0<strong>bom progn\u00f3stico<\/strong>.<\/li><li><strong>CIVs moderadas\/grandes<\/strong>: mant\u00eam<strong>sobrecarga de volume<\/strong>\u00a0para os pulm\u00f5es e cora\u00e7\u00e3o; sem tratamento quando indicado, podem levar a\u00a0<strong>hipertens\u00e3o pulmonar<\/strong>\u00a0e, tardiamente, \u00e0\u00a0<strong>s\u00edndrome de Eisenmenger<\/strong>\u00a0(invers\u00e3o do fluxo, com cianose) \u2014 quadro grave e\u00a0<strong>n\u00e3o oper\u00e1vel<\/strong>.<\/li><li><strong>CIV de via de sa\u00edda (supracristal)<\/strong>: pode causar<strong>prolapso de c\u00faspide a\u00f3rtica<\/strong>\u00a0e\u00a0<strong>insufici\u00eancia a\u00f3rtica progressiva<\/strong>, mesmo com defeito n\u00e3o muito grande.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e4cb4e blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8e4cb4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f24ad7 elementor-widget elementor-widget-heading\" data-id=\"2f24ad7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">4. Como tratar? (op\u00e7\u00f5es atuais)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7560ac6 elementor-widget elementor-widget-heading\" data-id=\"7560ac6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Acompanhamento cl\u00ednico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b4973 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"c0b4973\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Indicado para\u00a0<strong>CIVs pequenas<\/strong>\u00a0sem dilata\u00e7\u00e3o do cora\u00e7\u00e3o e\u00a0<strong>sem sintomas<\/strong>. Inclui:<\/p><p>\u00a0<\/p><ul><li><strong>Consultas<\/strong>e\u00a0<strong>ecocardiogramas peri\u00f3dicos<\/strong><\/li><li><strong>Controle de infec\u00e7\u00f5es<\/strong>, vacina\u00e7\u00e3o em dia<\/li><li><strong>Orienta\u00e7\u00e3o nutricional<\/strong>(em lactentes)<\/li><\/ul><div>\u00a0<\/div><p>Nos\u00a0<strong>sintom\u00e1ticos<\/strong>\u00a0(sobrecarga\/insufici\u00eancia card\u00edaca):<\/p><p>\u00a0<\/p><ul><li><strong>Diur\u00e9ticos<\/strong>e, conforme o caso,\u00a0<strong>IECA<\/strong>; suporte nutricional.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fbf5aa elementor-widget elementor-widget-heading\" data-id=\"1fbf5aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fechamento do defeito (quando indicado)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e934fe2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"e934fe2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Objetivo:<\/strong>\u00a0eliminar o shunt significativo, proteger pulm\u00f5es e cora\u00e7\u00e3o e\u00a0<strong>evitar complica\u00e7\u00f5es<\/strong>\u00a0(hipertens\u00e3o pulmonar, endocardite, regurgita\u00e7\u00e3o a\u00f3rtica).\u00a0<strong>Indica\u00e7\u00f5es t\u00edpicas<\/strong>\u00a0(decis\u00e3o individualizada):<\/p><p>\u00a0<\/p><ul><li>CIV<strong>moderada\/grande<\/strong>\u00a0com\u00a0<strong>sintomas<\/strong>\u00a0ou\u00a0<strong>dilata\u00e7\u00e3o<\/strong>\u00a0do ventr\u00edculo esquerdo<\/li><li><strong>Falha de crescimento<\/strong>em lactentes apesar de tratamento cl\u00ednico<\/li><li><strong>Aumento de press\u00e3o pulmonar<\/strong>(revers\u00edvel)<\/li><li><strong>Insufici\u00eancia a\u00f3rtica<\/strong>progressiva (especialmente em CIV supracristal)<\/li><li><strong>Endocardite<\/strong>atribu\u00edda ao defeito<\/li><\/ul><div>\u00a0<\/div><p><strong>T\u00e9cnicas<\/strong><\/p><p><strong>\u00a0<\/strong><\/p><ul><li><strong>Cirurgia<\/strong>(padr\u00e3o-ouro na maioria): fechamento com\u00a0<strong>pontos<\/strong>\u00a0ou\u00a0<strong>patch<\/strong>; altas taxas de cura.<\/li><li><strong>Fechamento por cateter<\/strong>(dispositivo oclusor): op\u00e7\u00e3o em\u00a0<strong>CIVs musculares<\/strong>\u00a0e\u00a0<strong>algumas perimembranosas<\/strong>\u00a0com anatomia favor\u00e1vel, em\u00a0<strong>centros experientes<\/strong>.<\/li><\/ul><div>\u00a0<\/div><p><strong>Quando<\/strong><strong>\u00a0<\/strong><em>n\u00e3o<\/em><strong>\u00a0<\/strong><strong>fechar:<\/strong>\u00a0na\u00a0<strong>s\u00edndrome de Eisenmenger<\/strong>\u00a0(shunt j\u00e1 invertido e hipertens\u00e3o pulmonar fixa), o fechamento \u00e9\u00a0<strong>contraindicado<\/strong>; o manejo \u00e9 especializado (medica\u00e7\u00f5es vasodilatadoras pulmonares, cuidado multiprofissional).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ce10f9 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"9ce10f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bf1809 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"7bf1809\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">5. O que esperar depois do tratamento?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62ef3bd elementor-widget elementor-widget-heading\" data-id=\"62ef3bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A) Ap\u00f3s cirurgia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-85b9f9a elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"85b9f9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Recupera\u00e7\u00e3o<\/strong>: interna\u00e7\u00e3o alguns dias; fisioterapia e cuidados com a incis\u00e3o\/esternotomia.<\/li><li><strong>Riscos pouco frequentes<\/strong>: sangramento, arritmias,<strong>bloqueio AV<\/strong>\u00a0(raramente requer marcapasso).<\/li><li><strong>Progn\u00f3stico<\/strong>: excelente na maioria; retorno gradual \u00e0s atividades.<strong>Ecocardiogramas<\/strong>\u00a0peri\u00f3dicos.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0928680 elementor-widget elementor-widget-heading\" data-id=\"0928680\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">B) Ap\u00f3s fechamento por cateter<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc4e759 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"bc4e759\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Recupera\u00e7\u00e3o r\u00e1pida<\/strong>; alta precoce.<\/li><li><strong>Medica\u00e7\u00f5es<\/strong>: geralmente<strong>antiagregante<\/strong>\u00a0por alguns\u00a0<strong>meses<\/strong>.<\/li><li><strong>Seguimento<\/strong>: eco de controle para checar<strong>posi\u00e7\u00e3o do dispositivo<\/strong>\u00a0e\u00a0<strong>shunt residual<\/strong>\u00a0(se houver).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-584f368 elementor-widget elementor-widget-heading\" data-id=\"584f368\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">C) Sem fechamento (apenas observa\u00e7\u00e3o)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14ce22c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"14ce22c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Vida\u00a0<strong>normal<\/strong>\u00a0quando liberada pelo cardiologista.<\/li><li><strong>Eco peri\u00f3dico\u00a0<\/strong>para vigiar\u00a0<strong>tamanho do defeito<\/strong>,\u00a0<strong>c\u00e2maras card\u00edacas<\/strong>\u00a0e\u00a0<strong>press\u00e3o pulmonar<\/strong>.<\/li><\/ul><div>\u00a0<\/div><p><strong>Endocardite (infec\u00e7\u00e3o na v\u00e1lvula\/cora\u00e7\u00e3o):<\/strong><\/p><p><strong>\u00a0<\/strong><\/p><ul><li><strong>Higiene oral\u00a0<\/strong>rigorosa e\u00a0<strong>consultas odontol\u00f3gicas<\/strong>\u00a0<\/li><li><strong>Profilaxia antibi\u00f3tica<\/strong>: indicada\u00a0<strong>nos primeiros 6 meses<\/strong>\u00a0ap\u00f3s\u00a0<strong>fechamento com patch\/dispositivo<\/strong>\u00a0ou\u00a0<strong>se houver shunt residual<\/strong>\u00a0junto a material prot\u00e9tico. Para\u00a0<strong>CIV pequena n\u00e3o operada<\/strong>,\u00a0<strong>n\u00e3o<\/strong>\u00a0se recomenda profilaxia rotineira \u2014 confirme orienta\u00e7\u00f5es com seu m\u00e9dico.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd22127 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"dd22127\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51f7c90 elementor-widget elementor-widget-heading\" data-id=\"51f7c90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quando procurar ajuda com urg\u00eancia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10d045e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"10d045e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Respira\u00e7\u00e3o r\u00e1pida ou dif\u00edcil<\/strong>, pele\/l\u00e1bios arroxeados<\/li><li><strong>Sudorese e cansa\u00e7o extremos\u00a0<\/strong>ao mamar\/atividades leves (crian\u00e7as)<\/li><li><strong>Desmaio<\/strong>,\u00a0<strong>palpita\u00e7\u00f5es r\u00e1pidas e sustentadas<\/strong>, dor tor\u00e1cica<\/li><li><strong>Febre persistente\u00a0<\/strong>com mal-estar (sinal de\u00a0<strong>endocardite<\/strong>)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce27518 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ce27518\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c15ad34 elementor-widget elementor-widget-heading\" data-id=\"c15ad34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Como se preparar para a consultas e exames<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c586c0 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1c586c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Traga\u00a0<strong>ecocardiogramas\/ECGs<\/strong>\u00a0anteriores e relat\u00f3rio de\u00a0<strong>peso\/ganho ponderal<\/strong>\u00a0(para crian\u00e7as).<\/li><li>Leve a lista de\u00a0<strong>medicamentos<\/strong>\u00a0e alergias.<\/li><li>Anote\u00a0<strong>sintomas<\/strong>\u00a0(in\u00edcio, frequ\u00eancia, gatilhos).<\/li><li>Pergunte sobre\u00a0<strong>atividade f\u00edsica<\/strong>,\u00a0<strong>viagens<\/strong>\u00a0e\u00a0<strong>vacina\u00e7\u00e3o<\/strong>.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3777924 e-flex e-con-boxed e-con e-parent\" data-id=\"3777924\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c0cae0 elementor-widget elementor-widget-heading\" data-id=\"4c0cae0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b8407c elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"5b8407c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-5b8407c\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"5b8407c\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"1-a-civ-do-meu-filho-pode-fechar-sozinha\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-9591\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">1) A CIV do meu filho pode fechar sozinha?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9591\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"1-a-civ-do-meu-filho-pode-fechar-sozinha\"><p>Sim.\u00a0<strong>CIVs pequenas<\/strong>, especialmente\u00a0<strong>musculares<\/strong>, t\u00eam\u00a0<strong>alta chance<\/strong>\u00a0de fechamento espont\u00e2neo nos primeiros anos.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"2-toda-civ-precisa-operar\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-9592\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">2) Toda CIV precisa operar?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9592\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"2-toda-civ-precisa-operar\"><p>N\u00e3o. Opera-se\/fecha-se quando h\u00e1\u00a0<strong>sobrecarga do cora\u00e7\u00e3o<\/strong>,\u00a0<strong>sintomas<\/strong>,\u00a0<strong>hipertens\u00e3o pulmonar<\/strong>\u00a0(revers\u00edvel),\u00a0<strong>insufici\u00eancia a\u00f3rtica<\/strong>\u00a0progressiva ou\u00a0<strong>complica\u00e7\u00f5es<\/strong>.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"3-meu-filhoadulto-pode-praticar-esportes\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"3\" aria-controls=\"elementor-tab-content-9593\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">3) Meu filho\/adulto pode praticar esportes?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9593\" class=\"eael-accordion-content clearfix\" data-tab=\"3\" aria-labelledby=\"3-meu-filhoadulto-pode-praticar-esportes\"><p>Geralmente\u00a0<strong>sim<\/strong>, conforme avalia\u00e7\u00e3o. Ap\u00f3s fechamento bem-sucedido e exames normais, a atividade \u00e9\u00a0<strong>liberada progressivamente<\/strong>.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"4-depois-do-fechamento-precisarei-de-remdios-para-sempre\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"4\" aria-controls=\"elementor-tab-content-9594\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">4) Depois do fechamento, precisarei de rem\u00e9dios para sempre?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9594\" class=\"eael-accordion-content clearfix\" data-tab=\"4\" aria-labelledby=\"4-depois-do-fechamento-precisarei-de-remdios-para-sempre\"><p>Normalmente\u00a0<strong>n\u00e3o<\/strong>. Pode haver\u00a0<strong>antiagregante<\/strong>\u00a0por alguns meses ap\u00f3s\u00a0<strong>dispositivo<\/strong>\u00a0e medica\u00e7\u00f5es tempor\u00e1rias no p\u00f3s-operat\u00f3rio.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"5-e-a-dentistaprofilaxia-antibitica\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"5\" aria-controls=\"elementor-tab-content-9595\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">5) E a dentista\/profilaxia antibi\u00f3tica?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9595\" class=\"eael-accordion-content clearfix\" data-tab=\"5\" aria-labelledby=\"5-e-a-dentistaprofilaxia-antibitica\"><p><strong>Apenas<\/strong>\u00a0nos\u00a0<strong>6 meses ap\u00f3s o fechamento<\/strong>\u00a0(ou se houver\u00a0<strong>shunt residual<\/strong>\u00a0com material prot\u00e9tico). Para CIV pequena\u00a0<strong>n\u00e3o operada<\/strong>, n\u00e3o se indica\u00a0<strong>rotina<\/strong>\u00a0\u2014 higiene oral \u00e9 fundamental.<\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ecf414 elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"4ecf414\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=55062999875623&#038;text=Ol%C3%A1%2CGostaria+de+agendar+uma+consulta+com+o+Dr.+Ciro+Reis.+&#038;type=phone_number&#038;app_absent=0\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">ENTRE EM CONTATO AGORA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2542f47 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2542f47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1dfdd8f elementor-widget elementor-widget-heading\" data-id=\"1dfdd8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Avisos importantes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45c3059 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"45c3059\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Este conte\u00fado <strong>n\u00e3o substitui<\/strong>\u00a0a consulta m\u00e9dica.<\/li><\/ul><div>\u00a0<\/div><ul><li>A decis\u00e3o entre\u00a0<strong>observar<\/strong>\u00a0e\u00a0<strong>fechar<\/strong>\u00a0a CIV \u00e9\u00a0<strong>individualizada<\/strong>\u00a0pelo\u00a0<strong>Heart Team<\/strong>, considerando\u00a0<strong>tamanho\/anatomia<\/strong>,\u00a0<strong>impacto no cora\u00e7\u00e3o\/pulm\u00f5es<\/strong>,\u00a0<strong>idade<\/strong>\u00a0e suas\u00a0<strong>prefer\u00eancias<\/strong>.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dr ciro reis Comunica\u00e7\u00e3o Interventricular (CIV) Resumo em 1 minuto:\u00a0\u00e9 um\u00a0orif\u00edcio cong\u00eanito\u00a0entre os ventr\u00edculos que permite passagem de sangue de\u00a0esquerda \u2192 direita, sobrecarregando pulm\u00f5es e cora\u00e7\u00e3o direito.\u00a0CIVs pequenas\u00a0costumam ser\u00a0assintom\u00e1ticas\u00a0e muitas\u00a0fecham sozinhas;\u00a0CIVs moderadas \/grandes\u00a0podem causar\u00a0falta de ar,\u00a0infec\u00e7\u00f5es respirat\u00f3rias,\u00a0dificuldade para ganhar peso\u00a0(em crian\u00e7as) e, a longo prazo,\u00a0hipertens\u00e3o pulmonar. O tratamento vai de\u00a0acompanhamento\u00a0a\u00a0fechamento por cirurgia\u00a0ou, em casos selecionados,\u00a0por [&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":{"_angie_page":false,"footnotes":""},"class_list":["post-312","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages\/312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=312"}],"version-history":[{"count":13,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages\/312\/revisions"}],"predecessor-version":[{"id":534,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages\/312\/revisions\/534"}],"wp:attachment":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}