Surgical closure of ventricular septal defects in infants

Sigmann, Joan M.; Stern, Aaron; Sloan, Herbert; Wilson, James L.

doi:10.1016/s0022-3476(64)80587-4

Cited by 3 publications

(4 citation statements)

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“…There is evidence that banding of the pulmonary artery improves the pulmonary vascular disease and the clinical status (Dammann et al, 1961). Young infants having corrective operations often die, particularly under the age of 6 months (Cartmill et al, 1966;Hallman, Cooley, and Bloodwell, 1966); but this is improving, and one group has reported a low mortality (Sigmann, Stem, and Sloan, 1967).…”

Section: Discussionmentioning

confidence: 99%

Haemodynamic studies after repair of ventricular septal defect.

Gotsman¹,

Beck²,

Barnard³

et al. 1969

Heart

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Section: Discussionmentioning

confidence: 99%

Haemodynamic studies after repair of ventricular septal defect.

Gotsman¹,

Beck²,

Barnard³

et al. 1969

Heart

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“…Several studies [2][3][4] have demonstrated a lower operative mortality for primary closure when compared with a two-staged approach with initial pulmonary artery banding. As outlined in an earlier reports 5 , direct surgery of a large VSD has been recommended for infants demonstrating intractable congestive heart failure, persistent or recurrent pneumonia, marked growth retardation and severe pulmonary hypertension (that is, pulmonary arterial pressure greater than 75% of the systemic pressure). This study aimed to review a 10 years experience with primary closure of VSDs in early childhood, assessing pre and postoperative hemodynamic data and clinical follow up.…”

Section: Bas J Surg March 9 2003mentioning

confidence: 99%

Hemodynamic Changes after Surgical Closure of Ventricular Septal Defect.

Haweleh¹

2003

Basrah Journal of Surgery

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This is a prospective study that was carried out during the period between January 1990 to January 2000, to assess the hemodynamic changes and outcome after surgical closure of ventricular septal defect (VSD). Out of 150 patients who underwent surgical closure of VSD, 52 patients had follow up cardiac catheterisation. The main indications for recatheterisation were: persistent respiratory symptoms, clinical or echocardiographic signs of residual leak across the VSD, and improper weight gain. The time interval between recath and surgery was ranging from 3 to 6 months. Complete closure was achieved in 35 patients out of 52 (76%) who had been recatheterized, persistent severe pulmonary hypertension was noticed in one patient who underwent atrial septostomy, 4(8%) patients had significant leak across the defect and high pulmonary hypertension needed a second operation, 12(23%) patients had small residual leak. The mean pulmonary arterial pressure has dropped from 60mmHg to 27 mmHg. Two patients had complete heart block needed an insertion of permanent pacemaker. The hospital mortality of the entire group was 2% and there was no late mortality. In conclusion, hemodynamic changes following the surgical closure of the ventricular septal defect had shown further reduction in the pulmonary pressure and pulmonary vascular resistance as early as 3 months in most patients, rarely some patients needed another attempt of closure of the residual VSD leak. Surgical atrial septostomy might be needed in patients with persistent severe pulmonary hypertension to decompress the right side of the heart.

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“…In 1954, Lillehei et al 4 first repaired successfully a ventricular septal defect (VSD) with the first father/son cross‐circulation. Over 10 years later, Sigmann et al 5 reported on the direct surgical closure of a VSD with the aid of extracorporeal circulation, which should be chosen preferring this over pulmonary artery banding.…”

Section: Introductionmentioning

confidence: 99%

“…(J Interven Cardiol 2005;18:523-527) cross-circulation. Over 10 years later, Sigmann et al 28 reported on the direct surgical closure of a VSD with the aid of extracorporeal circulation, which should be chosen preferring this over pulmonary artery banding.The transcatheter approaches to repair ASDs were first described in the 1980s. In 1974, King and Mills started occluding experimentally created septal defects in dogs.…”

mentioning

confidence: 99%

Closure of Atrial and Ventricular Septal Defects Should Be Performed by the Surgeon

Moritz

Özaslan

Doğan

et al. 2005

J Interven Cardiology

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Surgeons look back on 57 years of experience in the closure of atrial septal defects (ASDs) and 46 years in the closure of ventricular septal defects (VSDs). The transcatheter approaches to repair ASDs started first in the 1980s and for VSDs 8 years later. This study sought to reveal the surgical features only given by the surgical therapy and the limitation of interventional ASD and VSD closure. A variety of surgical techniques including the minimal invasive techniques for ASD or VSD closure are well described in recent publication with good results. The surgical trend is to improve the cosmetic outcome by minimizing the size of skin incision. The latest robotically assisted technique requires only four stab wound incisions. New techniques and devices have revolutionized the transcatheter technique but could not achieve the surgical ability to close all types of ASD or VSD, control arrhythmias, and correct additional valve disease or malformation. The mortality for interventional and surgical procedures approaches zero in recent publication. The residual shunting after surgical closure of ASD varies from 2% to 7.8% versus 5% to 33% after interventional closure. General complications caused by the surgical procedure are negligible; however, the shortness of hospital stay and the cosmetic appeal is an advantage of interventional ASD closure. There is no scientific comparison of surgical vs. interventional VSD closure yet.

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Surgical closure of ventricular septal defects in infants

Cited by 3 publications

References 0 publications

Haemodynamic studies after repair of ventricular septal defect.

Haemodynamic studies after repair of ventricular septal defect.

Hemodynamic Changes after Surgical Closure of Ventricular Septal Defect.

Closure of Atrial and Ventricular Septal Defects Should Be Performed by the Surgeon

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