An Improved Technique for the Closure of Ventricular Septal Defect in Ventricular Inversion

Kawashima, Yasunaru; Hashimoto, Souichirou; Miyamoto, Kensaku; Nagai, Isao; Kadoba, Keishi

doi:10.1016/s0003-4975(10)60179-8

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Due to high pulmonary vascular resistance in the early neonatal period, the associated symptoms are more severe in children with VSD. As the disease progresses, VSD patients often need to be hospitalized and receive delivery room care, speci c drugs, surgery 10 , and interventions 11 . Serious complications, such as sepsis, hemopneumothorax, pericardial effusion 12 , and neurologic and thromboembolic complications, are also caused by surgery 13 .…”

Section: Introductionmentioning

confidence: 99%

Presence of and hospital resource utilization for comorbid ventricular septal defects in pediatric patients: A cross-sectional study in Shanghai, China

Huang

Zhang

Yang

et al. 2022

Preprint

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Objectives To describe the characteristics of high-incidence comorbidity combinations of pediatric ventricular septal defect (VSD) among inpatients in Shanghai, China. Methods In total, 5,994 inpatient pediatric VSD cases with ICD-10-based diagnoses were retrospectively studied. The top combinations and influencing factors associated with comorbidities were analyzed by the chi-squared test. Results Patients were predominantly aged 0–1 year (50.47%), had one admission (90.89%), and had surgery once (37.14%) or twice (38.71%). Major comorbidities were cardiovascular and respiratory. VSD + atrial septal defect (ASD) (14.58%), VSD + ASD + secondary pulmonary hypertension (PH) (4.75%) and VSD + ASD + patent ductus arteriosus (PDA) + secondary PH (0.67%) affected the most patients in each comorbidity group. Other top comorbidity groups included VSD + patent foramen ovale (PFO) (4.05%), VSD + ASD + primary PH (2.92%) and VSD + ASD + secondary PH + pneumonia (0.53%). Characteristics of the combinations were examined, and age, with the highest prevalence seen in those aged between 0 and 1 year, number of operations (p < 0.001 in each comorbidity group), length of stay (LOS) (p = 0.001 in the 2 comorbidities group; p = 0.002 in the 4 comorbidities group) and hospitalization cost (p < 0.001 in the 2 comorbidities group; p = 0.011 in the 3 comorbidities group) differed significantly. Conclusions VSD + ASD, VSD + ASD + PH, and VSD + ASD + PDA + secondary PH occurred most frequently in each comorbidity group. Age, number of operations, LOS and hospitalization cost were significant among these combinations, which emphasizes the importance of a better understanding, diagnosis and treatment for complex comorbidities of VSD in young populations to improve clinical outcomes and provide guidance for relevant policies on resource utilization.

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Section: Introductionmentioning

confidence: 99%

Presence of and hospital resource utilization for comorbid ventricular septal defects in pediatric patients: A cross-sectional study in Shanghai, China

Huang

Zhang

Yang

et al. 2022

Preprint

View full text Add to dashboard Cite

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Ventricular Septal Defects

Praagh

2022

Congenital Heart Disease

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Yasunaru Kawashima

Uemura

2003

Cardiol Young

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In addition to his clinical contributions, on a par with these other giants in the field of paediatric cardiac surgery, Yasunaru Kawashima also devised and introduced surgical devices that were truly epoch-making. Furthermore, it is not only as a surgeon, but also as an educator that he has played such an important role in the field of cardiac surgery in our country. He has presided over our major domestic associations concerning cardiovascular diseases. Without question, he has been undoubtedly one of the most active and academic surgeons anywhere in the world. It is my privilege to describe his remarkable strides in cardiac surgery. I met him first when he moved from Osaka University to the National Cardiovascular Center of Japan as a general manager of its hospital in 1991. Of course, I had already known his name and his achievements, but I did not know him as a person at that time. He left a vivid impression, at least to me, when he entered, for the first time, our morning surgical conference. Immediately after he walked in, all of us in the room straightened ourselves in our seats, and the atmosphere within the room became tense. He simply said "Good morning" with a calm smile. But we could all sense the enormous energy and aura that surrounded him. Eventually, he became the president of the institution. He allowed me to go abroad to study. Thanks to his support, I was able to spend almost 2 years in London studying cardiac morphology under the guidance of Bob Anderson. This experience has proved extremely important for me, both in terms of my professional life as a cardiac surgeon, and the construction of my philosophy as a human being. Without Yasunaru's help and support, I would not now be in my current shape. I am sure that there are many other people like me around him, thanking him greatly in their minds. Having taken this opportunity to express my sincere thanks to Yasunaru Kawashima, I would now like to start to describe his personal history and affairs. Studentship Yasunaru was born on 23 August 1930, in Osaka, as the third son of his parents. His father was a gynecologist, and his mother was the daughter of a military officer. The Second World War broke out when he was an elementary school student, the nightmare ending

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An Improved Technique for the Closure of Ventricular Septal Defect in Ventricular Inversion

Cited by 3 publications

References 9 publications

Presence of and hospital resource utilization for comorbid ventricular septal defects in pediatric patients: A cross-sectional study in Shanghai, China

Presence of and hospital resource utilization for comorbid ventricular septal defects in pediatric patients: A cross-sectional study in Shanghai, China

Ventricular Septal Defects

Yasunaru Kawashima

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