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[Growth in 60 children with surgically repaired interventricular communication]

P Frontera Izquierdo, L Unceta Aguirre, G Cabezuelo Huerta

    Anales Espanoles De Pediatria
    |November 1, 1982
    PubMed
    Summary

    Surgical repair of ventricular septal defect significantly improves weight gain in children. Early infant surgery offers the best chance for near-normal final height, especially for severe cases.

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    Area of Science:

    • Pediatric Cardiology
    • Developmental Pediatrics
    • Surgical Outcomes

    Context:

    • Ventricular septal defect (VSD) is a common congenital heart defect.
    • Subnormal growth is often observed in children with VSD pre-surgery.
    • Growth patterns can be influenced by defect severity and patient age.

    Purpose:

    • To evaluate the impact of surgical repair on the growth status of children with VSD.
    • To determine if early surgical intervention improves long-term growth outcomes.
    • To identify factors influencing growth post-VSD repair.

    Summary:

    • Sixty children with repaired VSD (average 3.5-year follow-up) were studied, excluding low birth weight and chromosomal anomalies.
    • Pre-surgery, height and weight were subnormal, correlating with defect severity.

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  • Surgical repair led to significant weight gain across all groups.
  • Youngest patients achieved near-normal final height, while those repaired after age 2 showed limited height improvement.
  • 10% of patients did not show improved growth patterns post-surgery.
  • Impact:

    • Early surgical repair of large and severe VSD in infancy provides the optimal conditions for improved growth.
    • Timely intervention is crucial for mitigating long-term growth deficits in pediatric cardiac patients.
    • Understanding growth trajectories post-VSD repair informs clinical management and parental expectations.