title: [First stage closure of badly tolerated ventricular septal defects in the infant].
abstract: The authors report their experience of one-stage closure of poorly-tolerated ventricular septal defects in small children and babies. They use both extra-corporeal circulation and profound hypothermia. The results which they present have been very encouraging. They emphasise the fact that the closure is not complete after surgery, and that most of the murmurs which persist post-operatively disappear gradually. Of the neurological defects which were seen in two cases after surgery (one after profound hypothermia and one after extra-corporeal circulation) one resolved completely; in the other (in which there was a cardiac arrest followed by cardiac massage for one hour) certain intermittent visual defects have persisted. All of the other children can now be regarded as normal.
mesh_terms: D000367:Age Factors; D001835:Body Weight; D003452:Cryosurgery; D005112:Extracorporeal Circulation; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008722:Methods; D009461:Neurologic Manifestations; D011183:Postoperative Complications / Q000401:mortality
vernacular_title: Fermeture de premirère intention des communications interventirculaires mal tolérées chez le nourrisson