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  • Title: [Surgical treatment of ventricular septal defect in infants: report of 230 cases].
    Author: Zhuang J, Zhang J, Cen J, Chen X, Chen J, Chen W.
    Journal: Zhonghua Wai Ke Za Zhi; 1999 Apr; 37(4):241-2. PubMed ID: 11829831.
    Abstract:
    OBJECTIVE: To review the experience of surgical treatment of ventricular septal defect (VSD) in infants. METHODS: 230 infants with VSD of less than 3 years old underwent surgical repair from Feb. 1990 to Dec. 1997. Their ages ranged from 3 to 36 months. Their weight was 3.2 to 15.5 kg. The number of patients with perimembranous VSD was 192, and that of subpulmonary VSD 36. Two patients had multiple VSDs. 150 patients (65.2%) had moderate or severe pulmonary hypertension before operation. RESULTS: Thirteen patients died during hospitalization period, with a hospital mortality of 5.65%. The main causes of death were pulmonary hypertensive crisis and arrhythmia. The leading complications were pulmonary infections, arrhythmia and pulmonary hypertensive crisis. CONCLUSIONS: Surgical treatment of VSD in infancy may have a satisfactory outcome, it standardized surgical techniques and the improved perioperative management are used.
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