Surgical Treatment of Large Ventricular Septal Defect with Pulmonary Hypertension in the First 24 Months of Life

Suzuki, Yasuyuki; Ishizawa, E; Tanaka, Shigeo; Itoh, Takashi; Satoh, Kiyoharu; Koizumi, Seiji; Tadokoro, M; Horiuchi, T; Satoh, Tetsuo; Kanoh, Ichiki

doi:10.1016/s0003-4975(10)64907-7

Cited by 10 publications

(1 citation statement)

References 13 publications

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“…The method of operative intervention at present appears to be less controversial than it was 5 to 10 years ago. Staged treatment with initial pulmonary artery banding as described by Muller and Dammann [1] and later closure debanding and closure of the ventricular septal defect are not as frequently practiced now as they were previously because of the success that has been reported to have been achieved by 1-stage closure of the ventricular septal defect [2,[13][14][15][16][17][18][19][20][21]. The study by Mahle and associates [22] of the 2-stage approach is perhaps the most revealing with regard to the combined mortality of the precedures as well as the included interval mortality while waiting for staged repair.…”

Section: Discussionmentioning

confidence: 99%

Repair of ventricular septal defects

Doty

Lamberth

1985

World j. surg.

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Primary closure of large ventricular septal defects was performed in 57 patients ranging in age from 1 to 24 months during an 11‐year period. Weight of patients ranged from 2.5 to 12.2 kg (mean, 6.6±0.9 kg). Shunt flow was large with mean Qp/Qs, 3.5±0.5. It was possible to close the defect by the transatrial approach in 86% of patients using a prosthetic patch attached to the ventricular septum by continuous polypropylene suture (89%). Early mortality of 5% and late mortality of 2% and excellent functional results in 93% suggest that this approach is appropriate.

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