Early and Late Results of Closure of Ventricular Septal Defect in Infancy

Rein, J; Freed, Michael D.; Norwood, William I.; Castañeda, Aldo R.

doi:10.1016/s0003-4975(10)64563-8

Cited by 74 publications

(23 citation statements)

References 16 publications

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“…Of these, CRBBB with LAHB and CAVB are of importance. The incidence of CRBBB with LAHB after repair of VSD was reported as being between 8 to 17% according to previous reports (Barratt-Boyes et al 1976 ; Lincoln et al 1977 ;Rein et al 1977). The combination of CRBBB and LAHB tends to bring out a significant increase in CAVB and can cause sudden death in the late postoperative period (Wolff et al 1972).…”

Section: Discussionmentioning

confidence: 94%

Long-term results of open heart repair of ventricular septal defect.

Kagawa

Horiuchi

Ito

et al. 1987

Tohoku J. Exp. Med.

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Longterm follow-up results of 321 patients who underwent open hert repair of ventricular septal defect in our institute and have lived for more than five years were analyzed using questionnaires. The follow-up period was up to 24 years with an averagr of 12.9 years. The questionnaire mainly concerned the patient's state of health. Beside this, IQ was measured in 52 children, ECG was analyzed in 92 patients and heart catheterization was performed on 21 patients with preoperative severe pulmonary hypertension (PH). From this survey, it was ascertained that (1) no desths resulted from cardiac disorders ; (2) physical activity and development were satisfactory in nearly all patients ; (3) the scholastic acheivement score was within the normal range in nearly all school children ; (4) among 30 live births from 24 adult female patients, two babies with simple cardiac anomalies were found and (5) there remained very few patients suffering from residual PH, residual shunt or conduction disturbances. IQ as tested by individual intelligence tests was within the normal range in all children. On ECG, complete right bundle branch block with left anterior hemiblock was found in 9% and complete atrioventricular block in 7%. Amelioration of PH was achived especially in those who underwent operations in their younger years. ventricular septal defect ; open heart repair ; long-term results ; quality of life ; pulmonary hypertension Ventricular septal defect (VSD) is the most common congenital cardiac anomaly and is found in about 30% of infants and children with congenital heart disease (Brinsfield and Plauth 1978). Patients with isolated small VSD are usually asymptomatic except for a typical systolic murmur. In addition, VSD has a tendency to close or become narrower spontaneously during infancy or in early childhood (Keith et al. 1971;Collins et al, 1972;Blackstone et al. 1976).

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Section: Discussionmentioning

confidence: 94%

Long-term results of open heart repair of ventricular septal defect.

Kagawa

Horiuchi

Ito

et al. 1987

Tohoku J. Exp. Med.

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“…Therefore, early intervention is recommended for this type of VSD. Surgical repair for dcVSD through midline sternotomy has been considered the gold standard for many years [15]. Although surgical repair has been proven safe and effective, it is associated with significant operative trauma, postoperative discomfort, and a large midline scar which has significant adverse psychological consequences and social impact on the growing boys and girls.…”

Section: Discussionmentioning

confidence: 99%

“…Doubly committed subarterial ventricular septal defect (dcVSD) (also referred to as supracristal, subpulmonary, or infundibular VSD) is a unique type of VSD with high incidence in Asian populations, accounting for as many as one-quarter of defects requiring surgical closure [16]. Conventional surgical repair through a median sternotomy for dcVSD, a widely accepted procedure with minimal operative mortality, is associated with morbidity, postoperative discomfort, and a large thoracotomy scar [15].…”

Section: Introductionmentioning

confidence: 99%

Transfemoral Device Occlusion and Minimally Invasive Surgical Repair for Doubly Committed Subarterial Ventricular Septal Defects

Chen

Pan

et al. 2015

Pediatr Cardiol

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Transfemoral device occlusion and minimally invasive surgical repair are performed for doubly committed subarterial ventricular septal defect (dcVSD) to reduce the invasiveness of the conventional surgical repair through a median sternotomy. However, few studies have compared them in terms of effectiveness and cost. Inpatients with isolated dcVSD who had undergone transfemoral device occlusion or minimally invasive surgical repair from January 2011 to June 2014 were reviewed for a comparative investigation between the two procedures. Procedure success was achieved in 36 transfemoral (75 %) and in 36 surgical (100 %) procedures (p = 0.001). Transfemoral patients were older, with a VSD size similar to that of surgical patients (14.5 ± 11.7 vs 4.4 ± 2.9 years, p < 0.001; 4.5 ± 1.5 vs 4.4 ± 1.3 mm, p = 0.577, respectively). No significant difference was observed in complication rates between the two treatment groups (p = 1). No large residual shunt was observed. Small residual shunt was noted in two transfemoral patients and four surgical patients (p = 0.674). All these small residual shunts closed spontaneously during follow-up. The surgical repair costs 26 % less than the device occlusion (Yuan 22063.2 ± 343.9 vs Yuan 29970.1 ± 1335.2, p < 0.001), where most of the cost was attributed to the occluder in the amount of Yuan 19,500. Compared with device occlusion, minimally invasive surgical repair can provide superior efficacy and comparable complication rates. In addition, it is 26 % cheaper than device occlusion. In low-income countries where healthcare resources are limited, medical resources must be judiciously allocated to the treatment that allows for effective treatment of the largest number of patients.

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“…The landmark publication by Rein and colleagues [1] from Boston Children's Hospital was one of the first to show not only that single-stage primary repair of a ventricular septal defect could be achieved safely in infancy, with lower mortality than the published rate for PA banding alone, but also that long-term outcome was quite favorable by performing cardiac catheterization at 1 year and demonstrating normalization of pulmonary vascular resistance in all patients on late follow-up.…”

mentioning

confidence: 99%

“…TRACHEAL TUMORS: SURGICAL MANAGEMENT. ANN THORAC SURG 1978;26:112-25 In the discussion of Dr Hermes Grillo's 1978 publication in The Annals, Griff Pearson, another noted tracheal surgeon, refers to "Tracheal Tumors: Surgical Management," as a "classic" paper [1]. Indeed it was!…”

mentioning

confidence: 99%

50th Anniversary Landmark Commentary on Rein JG, Freed MD, Norwood WI, Castaneda AR. Early and Late Results of Closure of Ventricular Septal Defect in Infancy. Ann Thorac Surg 1977;24:19–27

Nido

2015

The Annals of Thoracic Surgery

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Early and Late Results of Closure of Ventricular Septal Defect in Infancy

Cited by 74 publications

References 16 publications

Long-term results of open heart repair of ventricular septal defect.

Long-term results of open heart repair of ventricular septal defect.

Transfemoral Device Occlusion and Minimally Invasive Surgical Repair for Doubly Committed Subarterial Ventricular Septal Defects

50th Anniversary Landmark Commentary on Rein JG, Freed MD, Norwood WI, Castaneda AR. Early and Late Results of Closure of Ventricular Septal Defect in Infancy. Ann Thorac Surg 1977;24:19–27

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