[Clinical analysis of the children with multiple ventricular septal defects].
OBJECTIVE
To review the experiences in surgical management and diagnosis for the children with multiple ventricular septal defects (VSDs).


METHODS
The clinical data of 21 children with multiple VSDs (8 males, 13 females) were analysed retrospectively. Multiple muscle defects in all patients were repaired by left ventricle incision and their near future clinical outcome was investigated.


RESULTS
The accuracy of diagnosis was 95.2% and the mortality was 9.5%. No residual shunts were found. Complete atrioventricular block was found early in 2 patients postoperation.


CONCLUSIONS
The operative outcome of children with multiple VSDs is satisfied. For these patients detailed preoperative color flow mapping and careful observation during operation are essential to increase the accuracy of diagnosis and prevention of residual shunts.
Zhang
Jinzhou
J
Department of Cardiac Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710033, China.
Yi
Dinghua
D
Sun
Guocheng
G
Zhu
Hailong
H
Liu
Jincheng
J
Hou
Xiaobin
X
D006348:Cardiac Surgical Procedures; D002675:Child, Preschool; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome