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Published on: December 11, 2017
Primary surgical repair of ventricular septal defect
M Kemal Demirag1, Hasan Tahsin Keçeligil, Fersat Kolbakir
1Department of Cardiovascular Surgery, Ondokuz Mayis University Medical School, Samsun, Turkey.
Insights
Primary repair of ventricular septal defects (VSDs) in 78 patients showed acceptable outcomes. Early closure of VSDs, typically via right atriotomy, is a safe and effective surgical option.
Area of Science:
- Cardiology
- Pediatric Surgery
- Cardiac Surgery
Background:
- Ventricular septal defects (VSDs) are common congenital heart anomalies.
- Surgical repair is the standard treatment for significant VSDs.
- Understanding outcomes of VSD repair is crucial for patient management.
Purpose of the Study:
- To evaluate the outcomes of primary surgical repair for ventricular septal defects.
- To assess the early and late mortality and morbidity associated with VSD repair.
Main Methods:
- Retrospective review of 78 patients undergoing primary VSD repair between January 1983 and December 2000.
- Analysis of patient demographics, VSD types, surgical techniques, and postoperative complications.
- Follow-up data for mortality and morbidity assessment.
Main Results:
- The study included 78 patients (54% male), with most aged 1-10 years.
- Perimembranous VSD was the most common type (77%).
- Early complications included aortic regurgitation, heart block, and residual shunt; 5 early deaths (6.4%) and 1 late death occurred.
Conclusions:
- Primary closure of ventricular septal defects can be performed with acceptable mortality and morbidity.
- Early surgical repair, often through a right atriotomy, is a viable option for VSD management.
Abstract:
Between January 1983 and December 2000, 78 patients underwent primary repair of a ventricular septal defect. There were 42 males (54%) and 36 females (46%) of whom 13 (17%) were under 1 year old, 50 (64%) were aged 1-10 years, 11 (14%) were aged 10-20 years, and 4 (5%) were over 20 years old. The ventricular septal defect was a perimembranous type in 60 patients (77%), subarterial (outlet) type in 10 (13%), and atrioventricular canal (inlet) type in 4 (5%). Operative repair was performed with a patch in all except 2 patients. Early postoperative complications included insignificant aortic regurgitation in 4 patients, persistent complete heart block in 1, and residual shunt in 4. There were 5 early deaths (6.4%) and 1 late death (1.8%) in 56 patients followed up. Early primary closure of ventricular septal defects, usually via a right atriotomy, can be performed with acceptable mortality and morbidity rates.
