Contemporary outcomes of surgical ventricular septal defect closure

Abstract

Even in the current surgical era, weight remains a significant predictor of morbidity and driver or length of stay in young infants undergoing ventricular septal defect closure. Weight still should be considered when discussing operative risks for children younger than age 6 months undergoing this procedure, irrespective of the indication for operation.

A Retrospective Survey Comparing Suture Techniques Regarding the Risk of Permanent Epicardial Pacemaker Implantation After Ventricular Septal Defect Closure

“…The reported prevalence of iatrogenic permanent CHB after isolated VSD closure remains between 0 and 8% [2,4-9,11,15] . In a study that comprised 828 patients who underwent VSD closure surgery, the rate of EP-CPB was reported to be 7.7% [11] .…”

“…The trajectory of the conduction system, which lies close to the posteroinferior rim of the VSD, may be damaged either by direct suturing or applying traction while exploring the VSD rim. While the reported incidence of surgically induced permanent complete heart block (CHB) after VSD closure remains between 0 and 8% [1,2,4-11] , the occurrence of iatrogenic CHB is expected to be less than 1% in which the occurrence has been mainly attributed to biological variations and lack of awareness of the disposition of the atrioventricular conduction axis [1,9,12,13] .…”

“…Although the suturing technique applied during patch closure of VSD was not described in detail in some reports [1,4,7] , a variety of suturing techniques have been implemented [2,5,6,8-10,14,15] . The aim of this retrospective study is to compare the continuous and combined suturing techniques in regards to the risk of permanent epicardial pacemaker (PEP) implantation in patients who underwent surgical VSD closure.…”

Cierre de comunicación interventricular en menores de un año en un hospital público

“…El desarrollo y la mejora de los procedimientos perioperatorios han permitido que la mayoría de estos pacientes tengan resultados satisfactorios en cuanto Artículo especial a sobrevida y calidad de vida. 2,3 Dado que los pediatras participan en el cuidado preoperatorio de estos pacientes, es importante que conozcan los resultados actuales de este tipo de cirugías, así como los factores de riesgo en nuestra población y la frecuencia de complicaciones.…”

“…3 La morbilidad es algo elevada, pero no se aleja de lo que reporta la bibliografía. El porcentaje de pacientes con bloqueo auriculoventricular (bloqueo AV) completo que requiere marcapaso definitivo, u n a d e l a s c o m p l i c a c i o n e s q u e p o d r í a desalentar el cierre primario, es menor del 1%; las restantes complicaciones reportadas son comunes a cualquier tipo de cirugía cardíaca.…”