[Ventricular septal defect in early childhood].
In a retrospective study the results of operations for hemodynamically severe ventricular septal defect were analyzed in 18 patients with a body weight below 10 kg who had been operated on over a period of two years at the Institute of Cardiovascular Diseases in Bratislava. The first group consisted of 12 children with the mean body weight of 6650 g in whom complete correction of the ventricular septal defect was carried out by means extracorporeal circulation. Ligation of the pulmonary artery was performed in 6 infants with the mean body weight of 3420 g (second group). Patients of both groups had a serious left-to-right shunt and marked pulmonary hypertension. An excellent operative result was obtained in 10 children after complete correction of the defect. Two patients of the first group and one patient of the second group died suffering from severe pulmonary hypertension. Surgical correction of the hemodynamically severe ventricular septal defect in early childhood is indicated when conservative treatment fails and should be carried out as an urgent procedure regardless the age and body weight of the patient.
K
K
Kanáliková
J
J
Siman
A
A
Augustínová
D
D
Vrsanský
M
M
Hrebík
L
L
Stanová
V
V
Hraska
D002315:Cardiopulmonary Bypass; D002675:Child, Preschool; D006345:Heart Septal Defects, Ventricular / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007223:Infant; D008026:Ligation; D011651:Pulmonary Artery / Q000601:surgery; D012189:Retrospective Studies
Defekt komorového septa v ranom detskom veku.