[Treatment of ventricular septal defects with pulmonary hypertension in infancy (author's transl)].
188 infants presenting with ventricular septal defects associated with pulmonary hypertension underwent early surgical treatment. Overall death rate was 10% (6% since 1979 and even 0% in case of single defects operated on between the ages of 6 and 12 months). Surgical results were excellent in 48 controlled cases operated on during the 1st year of life. When surgery was performed later, risk of residual pulmonary hypertension remained in cases with equal pressure levels. Our results suggest that all the infants who do not respond properly to medical treatment must be operated on and that those with a major pulmonary hypertension have to be operated on during there second semester of life.
D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000151:congenital* / Q000209:etiology; D007223:Infant; D011183:Postoperative Complications / Q000401:mortality; D013997:Time Factors
Traitment des communications interventriculaires avec hypertension artérielle pulmonaire du nourrisson.