Complicatons and Residual Defects After Correction of Noncomplicated Ventricular Septal Defect.
- Author:
Tae Gook JUN
1
;
Gyung Hwan HWANG
;
Ho Suk LEE
;
Jung Hee HUH
;
Kye Hyeon PARK
;
Pyo Won PARK
;
Hurn CHAE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, Sungkyunkwan University School of Medicine.
- Publication Type:Original Article
- Keywords:
Heart septal defect, ventricular;
Postoperative complication
- MeSH:
Aortic Valve;
Body Weight;
Critical Care;
Diagnosis;
Echocardiography;
Follow-Up Studies;
Heart Block;
Heart Septal Defects, Ventricular*;
Hemodynamics;
Incidence;
Mortality;
Postoperative Complications;
Retrospective Studies;
Risk Factors;
Surgical Procedures, Operative;
Tricuspid Valve Insufficiency
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2000;33(2):139-145
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
