Zhonghua wai ke za zhi [Chinese journal of surgery] · 1999
[Surgical treatment of ventricular septal defect in infants: report of 230 cases].
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Zhuang J, Zhang J, Cen J, Chen X, Chen J, Chen W
Аннотация
OBJECTIVE: To review the experience of surgical treatment of ventricular septal defect (VSD) in infants.
METHODS: 230 infants with VSD of less than 3 years old underwent surgical repair from Feb. 1990 to Dec. 1997. Their ages ranged from 3 to 36 months. Their weight was 3.2 to 15.5 kg. The number of patients with perimembranous VSD was 192, and that of subpulmonary VSD 36. Two patients had multiple VSDs. 150 patients (65.2%) had moderate or severe pulmonary hypertension before operation.
RESULTS: Thirteen patients died during hospitalization period, with a hospital mortality of 5.65%. The main causes of death were pulmonary hypertensive crisis and arrhythmia. The leading complications were pulmonary infections, arrhythmia and pulmonary hypertensive crisis.
CONCLUSIONS: Surgical treatment of VSD in infancy may have a satisfactory outcome, it standardized surgical techniques and the improved perioperative management are used.
METHODS: 230 infants with VSD of less than 3 years old underwent surgical repair from Feb. 1990 to Dec. 1997. Their ages ranged from 3 to 36 months. Their weight was 3.2 to 15.5 kg. The number of patients with perimembranous VSD was 192, and that of subpulmonary VSD 36. Two patients had multiple VSDs. 150 patients (65.2%) had moderate or severe pulmonary hypertension before operation.
RESULTS: Thirteen patients died during hospitalization period, with a hospital mortality of 5.65%. The main causes of death were pulmonary hypertensive crisis and arrhythmia. The leading complications were pulmonary infections, arrhythmia and pulmonary hypertensive crisis.
CONCLUSIONS: Surgical treatment of VSD in infancy may have a satisfactory outcome, it standardized surgical techniques and the improved perioperative management are used.