Korean J Thorac Cardiovasc Surg.
2000 Feb;33(2):139-145.
Complicatons and Residual Defects After Correction of Noncomplicated Ventricular
Septal Defect
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, Sungkyunkwan University School of Medicine.
Abstract
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BACKGROUND: The purpose of this study is to review the clinical course after the correction
of noncomplicated ventricular septal defect and to analyze the morbidity and risk factors of
postoperative complications and evaluate residual defect during the follow-up period.
MATERIAL AND METHOD: From September 1994 to June 1998 24 patients(median age 10 months)
underwent surgery under the diagnosis of ventricular septal defect. We made a retrospective
review of the clinical records including the operation notes critical care unit records
echocardiography results and the follow-up records.
RESULT: There was no early mortality nd late mortality. There was no postoperative complete
conduction block. Respiratory complication was the most common complication. The body weight
age type of ventricular septal defect associated anomalies and operative procedure were not
related to the incidence of complications. residual ventricular septal defects aortic valve
regurgitation and tricuspid valve regurgitation were insignificant in postoperative
hemodynamics,
CONCLUSIONS
Correction of the noncomplicated ventricular septal defect was
done without mortality and complete heart block. Aggressive preoperative medical treatment
and early surgical treatment may decrease postoperative complications. Postoperative residual
shunt and tricuspid regurgitation were not problematic during the follow-up.