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[Trans-atrial correction of ventricular septal defects in infancy and childhood (author's transl)]
Insights
The trans-atrial approach for ventricular septal defects (VSD) closure is safe and effective. This surgical technique significantly improved patient outcomes with a low mortality rate.
Area of Science:
- Cardiology
- Cardiac Surgery
- Congenital Heart Disease
Context:
- Ventricular septal defects (VSD) are common congenital heart abnormalities.
- Surgical closure is the standard treatment for significant VSDs.
- The tricuspid valve approach offers an alternative surgical route.
Purpose:
- To evaluate the safety and efficacy of the trans-atrial approach for VSD closure.
- To assess the post-operative outcomes and complications associated with this technique.
Summary:
- 57 out of 59 patients with VSD underwent surgical closure via the trans-atrial approach.
- All patients maintained sinus rhythm post-surgery; 40% developed right bundle branch block.
- Clinical conditions improved significantly, with an overall mortality rate of 6.7%.
Impact:
- The trans-atrial approach is a safe and recommended technique for surgical VSD management.
- This method demonstrates good clinical outcomes and acceptable complication rates.
- Provides valuable data for cardiac surgeons considering VSD repair strategies.
Abstract:
The Authors reviewed their surgical experience in correction of ventricular septal defects through tricuspid valve. 57 patients out of 59 operated for surgical closure of V.S.D. underwent this technique. All patients remained in sinus rhythm after surgical repair, 40% showed a right bundle block, and only in a case there was a right bundle block plus left anterior emiblock. Clinical conditions of all the patients greatly improved after intervention. Overall mortality in this series was 6.7%. The Authors conclude that trans-atrial approach is safe and advisable technique in surgical management of ventricular septal defects.