Late results (30 to 35 years) after operative closure of isolated ventricular septal defect from 1954 to 1960

Moller, James H.; Patton, Ceeya; Varco, Richard L.; Lillehei, C. Walton

doi:10.1016/0002-9149(91)90284-r

Cited by 112 publications

(43 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The criteria for shunt closure based on baseline PVR have been proposed (Table 24) based on available literature data [317][318][319]. Additional criteria include the type of the defect, age, the PVR:SVR ratio and the Qp:Qs ratio [320].…”

Section: Therapymentioning

confidence: 99%

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

et al. 2015

View full text Add to dashboard Cite

Guidelines summarize and evaluate all available evidence on a particular issue at the time of the writing process, with the aim of assisting health professionals in selecting the best management strategies for an individual patient with a given condition, taking into account the impact on outcome, as well as the risk–benefit ratio of particular diagnostic or therapeutic means. Guidelines and recommendations should help health professionals to make decisions in their daily practice. However, the final decisions concerning an individual patient must be made by the responsible health professional(s) in consultation with the patient and caregiver as appropriate.

show abstract

Section: Therapymentioning

confidence: 99%

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

et al. 2015

View full text Add to dashboard Cite

show abstract

“…17) However, the disturbance of conduction system, residual ventricular shunt, neurologic injury, and postoperative mortality are still major postoperative complications, especially in infants with malnutrition. [6][7][8][9][10][11] Our current series reported excellent postoperative outcomes using mattress suturing technique: there was no incidence of complete heart block, reoperation for residual VSD and postoperative mortality. Some may argue that the results can be attributed simply to a learning curve of the surgeon but the comparatively good outcomes are encouraging, and the new technique can be an addition to the armamentarium of pediatric cardiac surgeons.…”

Section: Discussionmentioning

confidence: 61%

“…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.…”

mentioning

confidence: 99%

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

Shi

Chen

Sun

et al. 2015

ATCS

View full text Add to dashboard Cite

“…Conduction system injury continues to be a leading cause of long-term postoperative cardiac morbidity, especially with the performance of more surgical procedures in increasingly younger patients. Complete heart block has been a serious complication of VSD closure which is associated with an increased risk of late death (1,12). Because of the close anatomic relationship of the atrioventricular node and the bundle of His to the inferoposterior wall, the conduction system is particularly at risk during closure of perimembranous VSDs (13,14).…”

Section: Discussionmentioning

confidence: 99%

Conduction disorders in continuous versus interrupted suturing technique in ventricular septal defect surgical repair

Javadikasgari¹,

Gholampour-Dehaki²,

Zareh³

et al. 2016

Res Cardiovasc Med

View full text Add to dashboard Cite

Background: Ventricular septal defects (VSD) is one of the most frequent congenital cardiac malformations and cardiac conduction disorders are still one of the serious postoperative complications in this surgery. Objectives: This study aimed to compare the incidence of conduction disorders with the use of continuous compared to interrupted suturing techniques in VSD surgical repair. Patients and Methods: Previously recorded data of 231 patients who underwent surgical closure of VSD between January 2009 and January 2012 at the Rajaie cardiovascular medical and research center were retrospectively reviewed. VSD surgical repair was performed using continues suturing technique in group A patients (n = 163, 70.6%) and interrupted suturing technique in group B patients (n = 68, 29.4%). Results: The most common concomitant congenital anomaly was Tetralogy of Fallot (27.3%). Twenty-four (10.4%) patients had intraoperative cardiac arrhythmia, including 19 (8.2%) transient and 5 (2.2 %) permanent arrhythmia. During their ICU stay, ventricular arrhythmia and complete heart block were observed in 34 (14.7%) and 5 patients (2.2%), respectively. At the time of the last follow-up, incomplete right bundle branch block (RBBB), complete RBBB, RBBB with left anterior hemi-block, and complete heart block were identified in 84 (36.4%), 42 (18.2%), 29 (12.6%), and 5 patients (2.2%), respectively. The results revealed that group A patients were most likely to have had cardiac arrhythmias during their ICU stay and at the time of last follow-up (P < 0.001), while the intraoperative incidence of cardiac arrhythmia during surgery was not statistically significant between the two groups (P = 0.06). Conclusions: In the absence of any statistical differences in the other risk factors between the two groups, the difference in the incidence of conduction disorders can be attributed to the type of suturing used during the procedure.

show abstract

Late results (30 to 35 years) after operative closure of isolated ventricular septal defect from 1954 to 1960

Cited by 112 publications

References 25 publications

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

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

Conduction disorders in continuous versus interrupted suturing technique in ventricular septal defect surgical repair

Contact Info

Product

Resources

About