Clinical experiences of the surgical treatment of severe ventricular septal defect and pulmonary hypertension in little infants
10.3969/j.issn.1008-9691.2018.02.024
- VernacularTitle:外科治疗小婴儿危重室间隔缺损伴肺动脉高压的临床经验总结
- Author:
Yupeng WEN
1
;
Zongxiao LI
;
Cheng CHANG
;
Peng ZHANG
Author Information
1. 天津医科大学儿童临床学院天津市儿童医院心脏外科
- Keywords:
Little infants;
Ventricular septal defect;
Pulmonary hypertension;
Cardiopulmonary bypass;
Surgical operation
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2018;25(2):215-217
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of surgical treatment of severe ventricular septal defect (VSD) accompanied by pulmonary hypertension (PH) in little infants. Methods The clinical data of 11 patients with VSD accompanied by PH admitted to the Department of Cardiac Surgery of Tianjin Children's Hospital of the Pediatric Clinical College in Tianjin Medical University from January 2016 to January 2017 were retrospectively analyzed. There were 6 males and 5 females, with the ages of 3 - 6 months, mean (5.36±1.03) months and body weights 4.2 - 7.5 kg, mean (5.9±1.0) kg. Preoperatively, all patients had recurrent pneumonia and heart failure history. After 2 - 3 times of medical treatment in hospitals, the patients underwent sub-acute radical operation under cardiopulmonary bypass. All patients were followed-up with echocardiography, chest X-ray and electrocardiogram examinations at 3, 6 and 12 months after heart surgery. Results After operation, all the children spontaneously recovered the heart beats, the stay times in surgical intensive care unit (SICU) were 2 - 7 days, and total hospitalization times were 12 - 17 days. All patients were followed up for 12 months, no death occurred in the whole group, and the heart and lung functions recovered satisfactorily. Conclusions Little infants with large VSD and PH should undertake operation as early as possible. The patients with recurrent pneumonia, heart failure in a short term should receive medical and surgical doctors' cooperative treatment, and the disease situation ought to be adjusted with one's best ability to a stable status when the sub-acute surgery can be carried out safely.
