Journal of cardiac surgery · 2005
Repair of multiple muscular ventricular septal defects: septal obliteration technique.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Cetin Gurkan, Ozkara Ahmet, Akcevin Atif, Korkut Ali Kubilay, Soyler Ilksen, Koner Ozge, Tireli Emin
Аннотация
BACKGROUND: The management of the apical multiple muscular ventricular septal defects (VSDs) remains still controversial. There are various surgical techniques and approaches for closure of "Swiss-cheese" VSDs. In this study, we report the outcome of multiple muscular VSDs repair, using the septal obliteration technique.
METHODS: We used the septal obliteration technique in five "Swiss-cheese" ventricular septal defects cases through right atriotomy. Four of the cases had isolated multiple VSDs. One case also had an aortic arch interruption type A, which was repaired prior to cardiopulmonary bypass. Their ages varied between 43 days and 6 years.
RESULTS: We did not experience any mortality or serious morbidity. Tracheostomy was required in one patient. There was no important residual shunt in postoperative period, except a minimal shunt in one case.
CONCLUSION: The closure technique of "Swiss-cheese" trabecular multiple VSDs using a large single patch was not troubling. Transatrial approach prevented postoperative problems of ventricular incision. Using a large needle with a large pledgett is the key, which provides deep tissue penetration to avoid residual shunt.
METHODS: We used the septal obliteration technique in five "Swiss-cheese" ventricular septal defects cases through right atriotomy. Four of the cases had isolated multiple VSDs. One case also had an aortic arch interruption type A, which was repaired prior to cardiopulmonary bypass. Their ages varied between 43 days and 6 years.
RESULTS: We did not experience any mortality or serious morbidity. Tracheostomy was required in one patient. There was no important residual shunt in postoperative period, except a minimal shunt in one case.
CONCLUSION: The closure technique of "Swiss-cheese" trabecular multiple VSDs using a large single patch was not troubling. Transatrial approach prevented postoperative problems of ventricular incision. Using a large needle with a large pledgett is the key, which provides deep tissue penetration to avoid residual shunt.
Предметные рубрики MeSH
AdultAngiocardiographyCardiac CatheterizationCardiac Surgical ProceduresCardiopulmonary BypassChildChild, PreschoolFemaleFollow-Up StudiesHeart AtriaHeart Septal Defects, VentricularHemodynamicsHumansMaleMiddle AgedPulmonary ArteryRisk AssessmentSampling StudiesSensitivity and SpecificitySeverity of Illness IndexSternumSurgical FlapsSuture TechniquesThoracotomyTreatment Outcome