Outcome of ventricular septal defect repair in a developing country

Vaidyanathan, Balu; Roth, Stephen J.; Rao, Sumathi; Gauvreau, Kimberlee; Shivaprakasha, Krishnanaik; Kumar, Raman Krishna

doi:10.1067/mpd.2002.124304

Cited by 30 publications

(30 citation statements)

References 14 publications

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“…17 Follow-up evaluations occurred yearly and included measurement of weight along with a cardiac evaluation for residual structural defects. Dietary counseling was provided to adult family members of all children who exhibited suboptimal catch-up growth.…”

Section: Assessment Of Nutritional Statusmentioning

confidence: 99%

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Somatic growth after ventricular septal defect in malnourished infants

Vaidyanathan

Roth

Shivaprakasha

et al. 2006

The Journal of Pediatrics

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Section: Assessment Of Nutritional Statusmentioning

confidence: 99%

“…17 The 94 survivors were all eligible for follow-up and constitute the study population for the analysis.…”

Section: Patientsmentioning

confidence: 99%

Somatic growth after ventricular septal defect in malnourished infants

Vaidyanathan

Roth

Shivaprakasha

et al. 2006

The Journal of Pediatrics

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“…These factors increase treatment costs and the risks to the patient. It was reported that the mortality of infants with VSDs during early surgery was 5.3% [4]. For large VSDs, the circumference is sharp and muscular tissues are fragile and often accompanied by edema.…”

Section: Introductionmentioning

confidence: 99%

“…Open-heart repair with cardiopulmonary bypass is a conventional procedure for large VSDs in infants that has proven to be effective [4]. Conventional surgery is invasive and, for infants with concurrent infections, surgery could lead to increased postoperative morbidity and prolonged periods of assisted ventilation [5].…”

Section: Introductionmentioning

confidence: 99%

A Minimally Invasive Technique for Occluding Large Muscular Ventricular Septal Defects in Infants

Gao¹,

Zhao³

et al. 2014

Cardiology

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Objective: This study investigated the feasibility, timing and indications for closure of large muscular ventricular septal defects (VSDs) in infants without use of a cardiopulmonary bypass. Methods: A total of 9 infants with large muscular VSDs ranging in size from 7 to 15 mm were treated by minimally invasive closure without cardiopulmonary bypass between April 2010 and February 2013. Results: All surgeries were successful without resulting in uncontrolled systemic infection, a pulmonary hypertensive crisis or a severely low cardiac output, and with an apparently shorter operation time and postoperative tracheal cannula. Conclusions: VSD closure without cardiopulmonary bypass can improve the efficacy and prognosis of infants with large muscular VSDs and concurrent pulmonary infections or respiratory failure.

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“…7 In developing country, prevalence of pre-operative growth delay in children with CHD was up to 45 %. 8 Infants with CHD and growth impairment typically show caloric deprivation and a reduction in adipose stores 9 . Anthropometric evaluations are very important for early identification of the patients with high risk for malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Growth in Children with Cyanotic and Acyanotic Congenital Heart Disease in a Tertiary Care Hospital

Chowdhury

Hoque

Ali

et al. 2018

J. Bangladesh Coll. Phys.

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Summary:Background: Congenital heart disease (CHD) is the commonest of all congenital lesions and is the most common type of heart diseases among children. Anthropometric evaluation is very important for early recognition of growth failure in children with cyanotic and acyanotic congenital heart diseases. Results: All the children (100%) with cyanotic congenital heart disease were underweight (Weight for age Z score). Among them, 23.33% had moderate and 76.67% had severe underweight. In children with acyanotic congenital heart disease, 93.33% had underweight. Among them, 20% had moderate and 73.33% had severe underweight. The p-value was 0.35008. In cyanotic congenital heart disease, 96.67% children had stunting. Among them, 13.33% had moderate and 83.33% had severe stunting. In acyanotic congenital heart disease, 43.33% children had stunting. Among them, 33.33% had moderate and 10% had severe stunting. There was significant statistical deference in between the two groups, (pvalue was <0.0001). In cyanotic congenital heart disease, 43.33% children had wasting. Among them, 30% had moderate and 13.33% had severe wasting. In acyanotic congenital heart disease, 76.67% children had wasting. Among them, 30% had moderate and 46.67% had severe wasting. There was significant deference in the groups (p value was 0.0077). MethodsConclusion: Growth failure was common in children with both cyanotic and acyanotic congenital heart disease. There was no significant difference in weight for age Z score (WAZ) of patients with cyanotic and acyanotic CHD but stunting was significantly higher in patients with cyanotic CHD and wasting was significantly higher in patients with acyanotic CHD.Key words: Congenital heart disease (CHD), cyanotic congenital heart disease, acyanotic congenital heart disease, TOF (Tetralogy of Fallot), VSD (Ventricular septal defect), underweight, stunting, wasting, WAZ (Weight for Age Z score).(J Bangladesh Coll Phys Surg 2018; 36: 64-69)

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Outcome of ventricular septal defect repair in a developing country

Cited by 30 publications

References 14 publications

Somatic growth after ventricular septal defect in malnourished infants

Somatic growth after ventricular septal defect in malnourished infants

A Minimally Invasive Technique for Occluding Large Muscular Ventricular Septal Defects in Infants

Comparison of Growth in Children with Cyanotic and Acyanotic Congenital Heart Disease in a Tertiary Care Hospital

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