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Repair of ventricular septal defect in the first year of life.

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%).
AuthorsA Henze, B L Koul, G Wallgren, G Settergren, V O Björk
JournalScandinavian journal of thoracic and cardiovascular surgery (Scand J Thorac Cardiovasc Surg) Vol. 18 Issue 2 Pg. 151-4 ( 1984) ISSN: 0036-5580 [Print] Sweden
PMID6235579 (Publication Type: Journal Article)
Chemical References
  • Polyethylene Terephthalates
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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