title: [Ventricular septal defect repair in children during first year of life in a public hospital].
abstract: OBJECTIVE
  Ventricular septal defect (VSD) is the most common congenital heart disease; primary surgical closure is the usual strategy for repairing it. Our objective is to describe results of surgical repair in children under 1 year of age and analyze risk factors for morbidity and mortality.
  
  
  METHODS
  Retrospective study; all patients with VSD repaired between 2004 and 2011 were included. Demographic, surgical procedure and postoperative variables were recorded: age, weight, genetic syndrome, type of VSD, length of stay, complications and outcome. Risk factors of mortality and morbidity: age < 6 m, weight < 3 kg, Down, malnutrition and respiratory infection prior syndrome were analyzed.
  
  
  RESULTS
  256 patients, age 5.3 months (21d-1y), weight 4.75 kg (2.2 to 13), 32% with Down syndrome and 17.5% with preoperative mechanical ventilation were operated. Perimembranous VSD was the most frequent type (62%). 28% experienced complications and 7% required reoperation for bleeding, infection or defect. The median hospital stay was 6 days (1-185). Postoperative 30 days mortality was 3%. Age < 6 m, weight < 3 kg, malnutrition and prior respiratory viral infection were associated with prolonged hospitalization, but no risk factors for mortality were identified.
  
  
  CONCLUSIONS
  The primary surgical closure of the VSD is a procedure with satisfactory results at our institution.
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos 35.
authors.forename: Verónica
authors.initials: V
authors.lastname: Becerra
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos 35.
authors.forename: María
authors.initials: M
authors.lastname: Althabe
authors.affiliation: Servicio de Cardiología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
authors.forename: Gladys
authors.initials: G
authors.lastname: Salgado
authors.affiliation: Servicio de Cirugía Cardiovascular, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
authors.forename: Jorge
authors.initials: J
authors.lastname: Barretta
authors.affiliation: Servicio de Cirugía Cardiovascular, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
authors.forename: Javier
authors.initials: J
authors.lastname: Cornelis
authors.affiliation: Servicio de Cirugía Cardiovascular, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
authors.forename: Pablo
authors.initials: P
authors.lastname: García Delucis
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos 35.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Magliola
mesh_terms: D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006779:Hospitals, Public; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors