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[Results of surgical correction of ventricular septal defects in infants]
Archives Des Maladies Du Coeur Et Des Vaisseaux
|May 1, 1979
Insights
This study reviewed 61 infants under 2 years old who underwent ventricular septal defect (VSD) closure. Direct repair or pulmonary artery banding with deep hypothermia showed effective outcomes for VSD treatment.
Area of Science:
- Pediatric Cardiac Surgery
- Congenital Heart Defects
Context:
- Ventricular septal defects (VSD) are common congenital heart anomalies.
- Surgical intervention is often necessary for VSD closure in infants.
- Evaluating surgical techniques for VSD is crucial for improving patient outcomes.
Purpose:
- To review the outcomes of surgical ventricular septal defect closure in infants.
- To compare direct closure versus pulmonary artery banding followed by closure.
- To assess the efficacy of deep hypothermia with circulatory arrest in pediatric VSD repair.
Summary:
- A series of 61 infants under 2 years old with VSD underwent surgical closure.
- Procedures included direct VSD closure (41 cases) or pulmonary artery banding followed by closure (20 cases).
- Deep hypothermia and circulatory arrest were employed during cardiopulmonary bypass.
Impact:
- Provides insights into surgical management strategies for infant VSD.
- Highlights the use of deep hypothermia and circulatory arrest in complex pediatric cardiac procedures.
- Contributes to the understanding of long-term outcomes for VSD repair in young children.
Abstract:
Of a consecutive series of 91 babies aged less than 2 years, operated on for closure of a ventricular septal defect during the last four years, the 61 cases with a minimum post operative follow up period of 18 months were retained for review. Closure of the ventricular septal defect was carried out directly 41 times, and after pulmonary artery banding in the other 20 cases, using deep hypothermia with a short period of circulatory arrest and cardiopulmonary bypass.