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.

Résumé

Au cours d'une période de 11 ans, 57 sujets âgés de 1 à 24 mois ont bénéficié de la correction d'une large communication interventriculaire. Leur poids variait de 2.5 à 12.2 kg (moyenne 6.6.±0.9). Le débit du shunt était important avec une moyenne Q.P./Q.S. de 3.5±0.5. Dans 89% des cas il fut possible par voie transauriculaire de mettre en place un patch fixé au septum interventriculaire par un surjet continu de polypropylène. La mortalité précoce fut de 5% et la mortalité tardive fut de 2%, les résultats fonctionnels étant excellents dans 93% des cas. Ces faits plaident en faveur de l'intervention.

Resumen

El cierre primario de defectos septales ventriculares mayores fué realizado en 57 pacientes con edades entre 1 y 24 meses en el curso de un período de 11 años. El peso de los pacientes varió entre 2.5 y 12.2 kg (promedio 6.6±0.9 kg). El flujo a través del defecto (shunt) fué considerable, con promedio Qp/Qs 3.5±0.5.

Fue posible cerrar el defecto por vía transatrial en 86% de los pacientes usando un parche prostético fijado al septo ventricular con sutura continua de polipropileno (89%). La mortalidad temprana de 5% y la mortalidad tardía de 2%, junto con resultados funcionales excelentes en el 93% de los casos, sugiere que este enfoque es apropiado.

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Volume9, Issue4

August 1985

Pages 516-521

Repair of ventricular septal defects

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Repair of ventricular septal defects

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