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[Clinical analysis of the children with multiple ventricular septal defects]
Jinzhou Zhang1, Dinghua Yi, Guocheng Sun
1Department of Cardiac Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710033, China.
Objective:
To review the experiences in surgical management and diagnosis for the children with multiple ventricular septal defects (VSDs).
Methods:
The clinical data of 21 children with multiple VSDs (8 males, 13 females) were analysed retrospectively. Multiple muscle defects in all patients were repaired by left ventricle incision and their near future clinical outcome was investigated.
Results:
The accuracy of diagnosis was 95.2% and the mortality was 9.5%. No residual shunts were found. Complete atrioventricular block was found early in 2 patients postoperation.
Conclusions:
The operative outcome of children with multiple VSDs is satisfied. For these patients detailed preoperative color flow mapping and careful observation during operation are essential to increase the accuracy of diagnosis and prevention of residual shunts.