Yeungnam Univ J Med.  2002 Dec;19(2):99-106. 10.12701/yujm.2002.19.2.99.

Clinical Analysis of Patch Repair of Ventricular Septal Defect in Infant

• Jung TE
• Lee JH
• Lee DH
• Lee JC
• Han SS
• Kim SY
• Ji DL

• KMID: 1969362
• DOI: http://doi.org/10.12701/yujm.2002.19.2.99

Abstract

BACKGROUND: Simple ventricular septal defect(VSD) is the most common congenital heart disease. Although closure of VSD is currently associated with a relatively low risk, experience with younger and smaller infants has been variably less satisfactory. We assessed the results of surgical closure of VSD in infant.
MATERIALS AND METHODS
Between 1996 and 2000, 45 non-restrictive VSD patients underwent patch repair and retrospective analysis was done. Patients were divided into two groups based on weight: group I infants weighed 5kg or less(n=16), and group II infants weighed more than 5kg(n=29). Both groups had similar variation in sex, VSD location, aortic cross clamp time and total bypass time. But combined diseases (ASD, PDA, MR) were more in group I. We closed VSD with patch and used simple continuous suture method in all patients.
RESULTS
There were no operative mortality, no reoperation for hemodynamically significant residual shunt and no surgically induced complete heart block. As a complication, pneumonia(group I: 2 cases, group II: 2 cases), transient seizure(group II: 2), wound infection(group I: 1, group II: 1), urinary tract infection(group I: 1) and chylopericardium(group I: 1) developed, and there was no significant difference between two groups(p>0.05).
CONCLUSION
Early primary closure with simple continuous suture method was applicable in all patients with non-restrictive VSD without any serious complications.

Keyword

Ventricular septal defect; Surgical treatment

MeSH Terms

Heart Block
Heart Defects, Congenital
Heart Septal Defects, Ventricular*
Humans
Infant*
Mortality
Reoperation
Retrospective Studies
Sutures
Urinary Tract
Wounds and Injuries