Surgical outcome of ventricular septal defect closure in infants and young children : a 7-year jordanian experience
المؤلف
المصدر
Journal of the Royal Medical Services
العدد
المجلد 7، العدد 1 (30 يونيو/حزيران 2000)، ص ص. 33-36، 4ص.
الناشر
الخدمات الطبية الملكية الأردنية
تاريخ النشر
2000-06-30
دولة النشر
الأردن
عدد الصفحات
4
التخصصات الرئيسية
الموضوعات
الملخص EN
Objective : To evaluate the surgical outcome of primary closure of ventricular septal defects in children.
Methods: This retrospective study was carried out between January 1990 and January 1997.
One hundred and nine patients with failure to thrive, congestive heart failure or pulmonary hypertension, underwent primary surgical closure of a ventricular septal defect (V.S.D) at Queen Alia Heart Institute.
There were 59 males and 50 females.
Age ranged from 0.5-13 years and body weight from 4.5-3Okg.
The mean pulmonary to systemic flow ratio was 2.3:1.
The mean systolic pulmonary artery pressure (PAP) was 58.4mmHg, and the mean pulmonary vascular resistance (PVR) was 8.37 units.
The basic anomaly was isolated V.S.D in 84 patients.
The others had associated patent ductus arteriosus or atrial septal defect Results : Complete closure of the defect was achieved in 100 patients (91.7 %), including two patients who died postoperatively.
The residual shunt was large in three, and small in six patients.
The hospital mortality rate was 1.8 % with no late deaths.
Death occurred highest among younger infants with a pre-existing respiratory problem, a large V.S.D and high pulmonary vascular resistance.
Follow-up color echo-doppler was done in 95 patients (88.8 %), while additional follow-up cardiac catheterization was done in 48 patients (44.8 %).
Forty-five patients had normal PAP while three patients had large residual shunt and high PAP and needed reoperation.
Small insignificant residual leaks were found in six patients.
Conclusion : Primary surgical closure of V.S.D during the first two years of life appears to be safe and effective.
Reduction of heart size and improved exercise tolerance were the most pertinent follow-up findings.
These results are comparable to those already published and encourage efforts at correction before pulmonary vascular resistance rises.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Hakim, Fakhri. 2000. Surgical outcome of ventricular septal defect closure in infants and young children : a 7-year jordanian experience. Journal of the Royal Medical Services،Vol. 7, no. 1, pp.33-36.
https://search.emarefa.net/detail/BIM-132542
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Hakim, Fakhri. Surgical outcome of ventricular septal defect closure in infants and young children : a 7-year jordanian experience. Journal of the Royal Medical Services Vol. 7, no. 1 (Jun. 2000), pp.33-36.
https://search.emarefa.net/detail/BIM-132542
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Hakim, Fakhri. Surgical outcome of ventricular septal defect closure in infants and young children : a 7-year jordanian experience. Journal of the Royal Medical Services. 2000. Vol. 7, no. 1, pp.33-36.
https://search.emarefa.net/detail/BIM-132542
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 35-36
رقم السجل
BIM-132542
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر