Abstract |
In the 7-year period 1976 through 1982, 48 infants underwent repair of ventricular septal defect (VSD). Their mean age was 5.3 (range 1-11) months and mean body weight 5.4 (range 3.1-9.6) kg. "Uncomplicated" VSD, located in the membranous septum, was present in 33 cases. "Complicated" VSD in terms of muscular/multiple (n = 6), subaortic type of double-outlet right ventricle (n = 5), AV-canal type (n = 2) and straddling chordae (n = 2) was present in 15 cases. The indication of surgery was progressive left ventricular dysfunction due to pulmonary hyperperfusion and pulmonary hypertension. Right trans-atrial exposure permitted repair, patch or tunnel in 43 of the 48 infants (90%), although temporary detachment of the septal tricuspid leaflet was required on six occasions. Co-existing patent ductus arteriosus (n = 6) and atrial septal defect (n = 22) were simultaneously closed. There were three postoperative deaths (6%). One infant required a second-stage repair for incomplete VSD closure and one sustained a permanent AV-block II. Repair via right atrial exposure was associated with few complications and only one death (2%).
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Authors | A Henze, B L Koul, G Wallgren, G Settergren, V O Björk |
Journal | Scandinavian journal of thoracic and cardiovascular surgery
(Scand J Thorac Cardiovasc Surg)
Vol. 18
Issue 2
Pg. 151-4
( 1984)
ISSN: 0036-5580 [Print] Sweden |
PMID | 6235579
(Publication Type: Journal Article)
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Chemical References |
- Polyethylene Terephthalates
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Topics |
- Age Factors
- Anesthesia, Intravenous
- Follow-Up Studies
- Heart Septal Defects, Ventricular
(mortality, surgery)
- Humans
- Hypothermia, Induced
- Infant
- Infant, Newborn
- Methods
- Polyethylene Terephthalates
- Postoperative Complications
(mortality)
- Postoperative Period
- Prostheses and Implants
- Suture Techniques
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