[Surgical treatment of aortopulmonary septal defect].
OBJECTIVE
To study the surgical treatment of aortopulmonary septal defect.


METHODS
From January 1983 to December 1996, 5 patients with aortopulmonary septal defect (APSD) (2 male and 3 female) aged from 6 to 34 years (mean 17.4 years) underwent surgical treatment. According to Mori's were classification, 5 patients belonged to type I, 2 type II and 1 type III. The diameters of the defect ranged from 1.0 to 3.0 cm. The operations were performed under moderate hypothermic cardiopulmonary bypass. Pulmonary artery incision was performed, in 3 patients while aortic incision in the other 2. All defects were repaired by Dacron patch.


RESULTS
There were no operative deaths and postoperative complications. During follow-up of 10 months to 12 years, no late complications and deaths were found.


CONCLUSIONS
The operation should be done early as possible whenever the diagnosis is established. The surgical repair should be taken under cardiopulmonary bypass. To chose an incision on the aorta is more reasonable than on the pulmonary artery. The use the dacron patch can prevent stenosis and recanalization after operation.
Ye
W
W
Department of Cardiovascular Surgery, Shanghai Chest Hospital, Shanghai 200030.
Cao
Q
Q
Li
S
S
Zhang
W
W
Ding
Z
Z
Qiu
Z
Z
D000293:Adolescent; D000328:Adult; D001011:Aorta / Q000002:abnormalities / Q000601:surgery; D001028:Aortopulmonary Septal Defect / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome