Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital
We conducted a retrospective study of pediatrics with ventricular septal defect (VSD) that were surgically treated for correction between August 2001 and September 2004 in Songklanagarind Hospital, noting age at time of surgery, sex, type of defect, pulmonary arterial pressure, duration of stay in t...
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| Format: | Article |
| Language: | English |
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Prince of Songkla University
2005-10-01
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| Series: | Journal of Health Science and Medical Research (JHSMR) |
| Subjects: | |
| Online Access: | https://www.jhsmr.org/index.php/jhsmr/article/view/537 |
| _version_ | 1818579189643608064 |
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| author | A Chetpaophan C Rergkliang V Chittitavorn P Vasinanukorn |
| author_facet | A Chetpaophan C Rergkliang V Chittitavorn P Vasinanukorn |
| author_sort | A Chetpaophan |
| collection | DOAJ |
| description | We conducted a retrospective study of pediatrics with ventricular septal defect (VSD) that were surgically treated for correction between August 2001 and September 2004 in Songklanagarind Hospital, noting age at time of surgery, sex, type of defect, pulmonary arterial pressure, duration of stay in the intensive care unit and hospital, complications, and mortality. There were 93 patients with mean age 7.7±4.2 years. Perimembraneous VSD was the most frequent in this study (57%) followed by subarterial VSD (40.9%) and muscular VSD (2.1%). Pulmonary hypertension (PHT) was found in 100% of the patients; it was severe in 7 patients (7.5%), moderate in 58 (62.4%) and mild in 28 (30.1%). The average duration of stay in the ICU and hospital were 1.7±1.7 and 6.9±3.7 days, respectively; both were significantly longer in the severe PHT group compared to the mild and moderate PHT groups ( P < 0.05 ). Postoperative complications presented in 8 patients (8.6%), with 4 (4.3%) in the severe PHT group, 3 in the moderate group, and 1 in the mild group. Complete AV block was found in one patient in the severe PHT group. The overall mortality was 3.2% (2 in severe PHT, 1 in moderate PHT). We concluded that VSD with severe PHT continues to be a major cause of postoperative morbidity and mortality, and have increased the duration of ICU and hospital stay in these patients. |
| first_indexed | 2024-12-16T06:57:45Z |
| format | Article |
| id | doaj.art-dc38211ae3314fe7bd6c553a1e434bac |
| institution | Directory Open Access Journal |
| issn | 2586-9981 2630-0559 |
| language | English |
| last_indexed | 2024-12-16T06:57:45Z |
| publishDate | 2005-10-01 |
| publisher | Prince of Songkla University |
| record_format | Article |
| series | Journal of Health Science and Medical Research (JHSMR) |
| spelling | doaj.art-dc38211ae3314fe7bd6c553a1e434bac2022-12-21T22:40:15ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592005-10-01235333339551Surgical outcome of ventricular septal defect repair in Songklanagarind HospitalA Chetpaophan0C Rergkliang1V Chittitavorn2P Vasinanukorn3Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,We conducted a retrospective study of pediatrics with ventricular septal defect (VSD) that were surgically treated for correction between August 2001 and September 2004 in Songklanagarind Hospital, noting age at time of surgery, sex, type of defect, pulmonary arterial pressure, duration of stay in the intensive care unit and hospital, complications, and mortality. There were 93 patients with mean age 7.7±4.2 years. Perimembraneous VSD was the most frequent in this study (57%) followed by subarterial VSD (40.9%) and muscular VSD (2.1%). Pulmonary hypertension (PHT) was found in 100% of the patients; it was severe in 7 patients (7.5%), moderate in 58 (62.4%) and mild in 28 (30.1%). The average duration of stay in the ICU and hospital were 1.7±1.7 and 6.9±3.7 days, respectively; both were significantly longer in the severe PHT group compared to the mild and moderate PHT groups ( P < 0.05 ). Postoperative complications presented in 8 patients (8.6%), with 4 (4.3%) in the severe PHT group, 3 in the moderate group, and 1 in the mild group. Complete AV block was found in one patient in the severe PHT group. The overall mortality was 3.2% (2 in severe PHT, 1 in moderate PHT). We concluded that VSD with severe PHT continues to be a major cause of postoperative morbidity and mortality, and have increased the duration of ICU and hospital stay in these patients.https://www.jhsmr.org/index.php/jhsmr/article/view/537surgery, ventricular septal defect, pulmonary hypertension |
| spellingShingle | A Chetpaophan C Rergkliang V Chittitavorn P Vasinanukorn Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital Journal of Health Science and Medical Research (JHSMR) surgery, ventricular septal defect, pulmonary hypertension |
| title | Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital |
| title_full | Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital |
| title_fullStr | Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital |
| title_full_unstemmed | Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital |
| title_short | Surgical outcome of ventricular septal defect repair in Songklanagarind Hospital |
| title_sort | surgical outcome of ventricular septal defect repair in songklanagarind hospital |
| topic | surgery, ventricular septal defect, pulmonary hypertension |
| url | https://www.jhsmr.org/index.php/jhsmr/article/view/537 |
| work_keys_str_mv | AT achetpaophan surgicaloutcomeofventricularseptaldefectrepairinsongklanagarindhospital AT crergkliang surgicaloutcomeofventricularseptaldefectrepairinsongklanagarindhospital AT vchittitavorn surgicaloutcomeofventricularseptaldefectrepairinsongklanagarindhospital AT pvasinanukorn surgicaloutcomeofventricularseptaldefectrepairinsongklanagarindhospital |