Current Expectations for Surgical Repair of Isolated Ventricular Septal Defects

Mattress Stitch—A Modified Shallow Stitching in the Surgical Closure of Large Perimembranous Ventricular Septal Defect in Infants

“…5,7,8) Right bundle branch block, which may be associated with diastolic dysfunction in late follow-up, remains another common conduction disturbance with a reported prevalence of 20%-62%. 12,19,20,21) Both are unequivocally linked to the surgical maneuvers. Precise identification of the conduction bundle including the penetrating bundle, non-branching bundle, and right bundle branch is of surgical importance.…”

“…12) Although the significant hemodynamic residual shunt is less than 1%, 5) the global rate of small residual shunt still ranges from 15% to 25% on intraoperative transoesophageal echocardiography and 30% to 46% on postoperative transthoracic echocardiography. 9,10) Low weight at operation is a predictive factor for a residual shunt because of the difficulty in balancing prosthesis compliance with tissue friability in such patients.…”

“…4,5) Complications are rare but still include injury of conduction system, residual shunt, emergent reoperation, and postoperative death, mainly in malnourished infants suffering from large perimembranous VSDs. [6][7][8][9][10][11][12] Since 2011, we have adopted the mattress suturing technique to close the infero-posterior margin of large perimembranous VSDs. In the current series, we retrospectively reviewed 120 infants with poor weight suffering from large perimembranous VSDs to assess this new method and evaluate its effectiveness.…”

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.…”

Outcomes of Posterior Wall Thickness, Interventricular Septal Thickness and LA diameter after Surgical Closure of Ventricular Septal Defect in Different Age Group

“…double chamber physiology, insufficiency of the aortic valve, and distortion of the valve apparatus are all evaluated by echocardiography 11 . When limitations in image quality of transthoracic echocardiography prevent evaluation of these aspects of the cardiovascular physiology, transesophageal imaging can be performed.…”