Clinical analysis for 241 cases of subpulmonic ventricular septal defect
10.3760/cma.j.issn.1673-4904.2010.29.008
- VernacularTitle:肺动脉瓣下室间隔缺损241例临床分析
- Author:
Jinsong HAN
;
Huishan WANG
;
Xinmin LI
;
Zengwei WANG
;
Hongyu ZHU
;
Zongtao YIN
;
Hongguang HAN
- Publication Type:Journal Article
- Keywords:
Heart septal defects,ventricular;
Pulmonary valve;
Surgical procedures,operative
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(29):19-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical features and treatment experience of subpulmonic ventricular septal defect (SPVSD). Method The clinical data of 241 cases of SPVSD were analyzed retrospectively. Results Two hundred and fifteen cases were confirmed by echocardiography before operation, while other 26 cases were misdiagnosed (10.79%, 26/241), 42 cases with aortic valve prolapsed,ECG showed left ventricular hypertrophy. All patients underwent surgical repair of VSD. Other procedures had been done in the same stage including aortic valve replacement (AVR) in 8 cases, aortic valvuloplasty (AVP) in 6 cases and other operations. The size of VSD was larger than the value echocardiography measured before operation. There were no perioperative death and no complete atrioventricular block. Two hundred and thirty cases (95.44%, 230/241) were followed up for 3 months to 5 years. The cardiac function (NYHA) in 189 cases were grade Ⅰ and 41 cases were grade Ⅱ. There was no residual shunt of VSD. Among patients who underwent AVP or AVR, 1 case developed mild insufficiency, others developed well. Others underwent another operations all developed well. Conclusion To achieve satisfactory results, it should enhance the overall understanding of SPVSD, improve the diagnostic accuracy of SPVSD, take positive surgical repair of VSD and reasonable treatment with aortic valve disease, and other malformation or disease.
