Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital
Background: Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. Isolated VSDs represent about 20-30% of all congenital cardiac malformations and have a prevalence of 1- 2 % per 1,000 live births. Objective: This study is planned to review the outcome of surgical...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2015-04-01
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| Series: | مجلة كلية الطب |
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| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/328 |
| _version_ | 1797330660361240576 |
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| author | Adel Kh. Dawood |
| author_facet | Adel Kh. Dawood |
| author_sort | Adel Kh. Dawood |
| collection | DOAJ |
| description | Background: Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. Isolated VSDs represent about 20-30% of all congenital cardiac malformations and have a prevalence of 1- 2 % per 1,000 live births.
Objective: This study is planned to review the outcome of surgical closure of VSD at Ibn Al-Nafees Teaching Hospital (Department Cardiac Surgery) Baghdad/Iraq.
Patients and methods: This study includes 50 cases of VSD both isolated and VSD associated with other congenital malformations admitted and underwent surgical repair of age range between 3 to 28 years and weight range between 9 to 80 kg. Different type of VSD, were found and repaired whether isolated or with other associated congenital anomalies which dealt with at the same time.
Results: The following VSD types were found: 40 peri- membranous 80%, 3 outlet 6%, 5 inlet 10% and 2 muscular 4%. Additional surgery were 3 pulmonary valvotomy 6%, 3 right ventricular outflow patch 6%, 7 closure of atrial septal defect 14%, 2 excision of subaortic ridge 4% and 2 aortic valve replacement 4%. One patient required reoperation for bleeding. Four patients had complete heart block that required temporary pacemaker. Over all operative mortality were two cases (4%), median postoperative hospital length stay was 7 days (range 5-18 days).
Conclusions: Surgical closure of VSD is a safe and effective therapy in isolated VSD or VSD with other malformations and reoperation is minimal. Other cardiac malformations can be repaired at the same time with the closure of VSD with good results and very minimal complications. |
| first_indexed | 2024-03-08T07:23:55Z |
| format | Article |
| id | doaj.art-0f61c6e68eae4212b3efdc3f06a53dbb |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T07:23:55Z |
| publishDate | 2015-04-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-0f61c6e68eae4212b3efdc3f06a53dbb2024-02-02T22:23:49ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572015-04-0157210.32007/med.1936/jfacmedbagdad.v57i2.1Review Of surgery of VSD in Ibn Al-Nafees Teaching HospitalAdel Kh. Dawood0Dept. of Cardiac Surgery Ibn Al-nafees Teaching Hospital.Background: Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. Isolated VSDs represent about 20-30% of all congenital cardiac malformations and have a prevalence of 1- 2 % per 1,000 live births. Objective: This study is planned to review the outcome of surgical closure of VSD at Ibn Al-Nafees Teaching Hospital (Department Cardiac Surgery) Baghdad/Iraq. Patients and methods: This study includes 50 cases of VSD both isolated and VSD associated with other congenital malformations admitted and underwent surgical repair of age range between 3 to 28 years and weight range between 9 to 80 kg. Different type of VSD, were found and repaired whether isolated or with other associated congenital anomalies which dealt with at the same time. Results: The following VSD types were found: 40 peri- membranous 80%, 3 outlet 6%, 5 inlet 10% and 2 muscular 4%. Additional surgery were 3 pulmonary valvotomy 6%, 3 right ventricular outflow patch 6%, 7 closure of atrial septal defect 14%, 2 excision of subaortic ridge 4% and 2 aortic valve replacement 4%. One patient required reoperation for bleeding. Four patients had complete heart block that required temporary pacemaker. Over all operative mortality were two cases (4%), median postoperative hospital length stay was 7 days (range 5-18 days). Conclusions: Surgical closure of VSD is a safe and effective therapy in isolated VSD or VSD with other malformations and reoperation is minimal. Other cardiac malformations can be repaired at the same time with the closure of VSD with good results and very minimal complications.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/328Ventricular septal defect, pulmonary hypertention, cardio- pulmonary bypass. |
| spellingShingle | Adel Kh. Dawood Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital مجلة كلية الطب Ventricular septal defect, pulmonary hypertention, cardio- pulmonary bypass. |
| title | Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital |
| title_full | Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital |
| title_fullStr | Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital |
| title_full_unstemmed | Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital |
| title_short | Review Of surgery of VSD in Ibn Al-Nafees Teaching Hospital |
| title_sort | review of surgery of vsd in ibn al nafees teaching hospital |
| topic | Ventricular septal defect, pulmonary hypertention, cardio- pulmonary bypass. |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/328 |
| work_keys_str_mv | AT adelkhdawood reviewofsurgeryofvsdinibnalnafeesteachinghospital |