Surgical management of multiple ventricular septal defects.
作者： James K. Kirklin , Aldo R. Castaneda , John F. Keane , Kenneth E. Fellows , William I. Norwood
DOI: 10.1016/S0022-5223(19)37735-9
关键词:
摘要: Between Jan. 1, 1973, and June 1979, 29 patients underwent surgical closure of multiple ventricular septal defects (VSDs). Included are 19 with VSDs only (one death), five tetralogy Fallot (TF) (0 deaths), two transposition the great arteries VSD (TGA/VSD) complete atrioventicular (AV) canal one common atrium death). The overall hospital mortality rate was 14% (4/29) significantly related to complexity underlying malformation (p = 0.01) presence major associated cardiac lesions 0.005). incidence reoperation for overlooked 28% (8/29) muscular (all were muscular) failure preoperatively diagnose 0.05). Of shunt data available after final operation, 85% (17/20) had a QP/QS ≤ 1.5, no patient > 2.0. This experience indicates that satisfactory results usually can be achieved operation emphasizes value early assessment residual shunting when indicated.
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