| Surgery for ventricular septal defect. | |
| | |
MedLine Citation:
|
PMID: 2063147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Of 255 patients undergoing closure of ventricular septal defect (VSD), 48% were younger than 2 years, 59% had associated cardiac and 26% non-cardiac abnormality, 13% had multiple, and only 29% isolated VSD. VSD was closed via the left ventricular apex in seven cases, without increased morbidity or mortality. The three early and six late deaths occurred in patients with complicated defects. Pulmonary vascular occlusive disease caused four deaths (1 early, 3 late). At follow-up (mean c. 3, range 1-11 years), 79% of the patients were well, 10% had cardiac symptoms and 7.5% had symptoms from associated noncardiac anomalies. Reoperation for significant residual VSD was required in 12 cases (4 single and 8 multiple VSD). Complete, pacemaker-requiring A-V block was found in four patients (none with simple VSD closure). It is concluded that 1) concomitant cardiac and non-cardiac lesions are common in VSD, 2) mortality is closely related to such lesions and to pulmonary vascular occlusive disease, 3) the latter is a rare, but real cause of death, 4) left ventricular approach need not increase mortality or morbidity, 5) significant residual VSD is rare after single, but common in multiple VSD, and 6) risk of complete A-V block after simple VSD closure is very low. |
| | |
Authors:
|
H Sairanen; M Leijala; I Louhimo |
Related Documents
:
|
6853907 - Sensitivity of two-dimensional echocardiography in the direct visualization of atrial s... 17098137 - New aspects of septal function by using 1-dimensional strain and strain rate imaging. 16454887 - Atrioventricular septal defect with intact septal structures presenting as left atriove... 3432107 - Horizontal ventricular septum with dextroversion: hearts with and without aortic atresia. 6506127 - Myocardial damage from acute cerebral lesions. 21640397 - Age, conduction defects and restrictive lung disease independently predict cardiac even... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Scandinavian journal of thoracic and cardiovascular surgery Volume: 25 ISSN: 0036-5580 ISO Abbreviation: Scand J Thorac Cardiovasc Surg Publication Date: 1991 |
Date Detail:
|
Created Date: 1991-08-08 Completed Date: 1991-08-08 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0121343 Medline TA: Scand J Thorac Cardiovasc Surg Country: SWEDEN |
Other Details:
|
Languages: eng Pagination: 1-5 Citation Subset: IM |
Affiliation:
|
Children's Hospital, University of Helsinki, Finland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Child Child, Preschool Follow-Up Studies Heart Defects, Congenital / complications Heart Septal Defects, Ventricular / complications, surgery* Humans Infant Infant, Newborn Reoperation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Are immunoglobulins useful in the treatment of neonatal infections?
Next Document: Elective coronary artery bypass surgery without homologous blood transfusion. Early results with an ...