[Repair of ventricular septal defects before 6 months of age. Apropos of a series of 194 infants].
Between 1982 and 1988, 194 infants under 6 months of age underwent surgical closure of a ventricular septal defect at the Marie Lannelongue Surgical Centre. The hospital death in this series was 6.7 p. 100. Mortality was influenced by the infant's age, by associated cardiac or extracardiac lesions and by the pre-operative ventilatory status. A residual ventricular septal defect was present in 11 infants (5.6 p. 100). Complete atrioventricular block occurred in 2 cases (1.1 p. 100). These results are in favour of a complete repair of simple ventricular septal defects at a very young age if medical treatment does not result in a satisfactory improvement.
Chambran
P
P
Centre chirurgical Marie-Lannelongue, Le Plessis-Robinson.
Maatouk
M
M
Bruniaux
J
J
Lacour-Gayet
F
F
Binet
J P
JP
Planché
C
C
D000015:Abnormalities, Multiple; D001022:Aortic Valve Insufficiency / Q000209:etiology; D001145:Arrhythmias, Cardiac / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D007432:Intraoperative Period / Q000401:mortality; D008297:Male; D012008:Recurrence
Réparation des communications interventriculaires avant l'âge de 6 mois. A propos d'une série de 194 nourrissons.