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  • Title: Surgical treatment of ventricular septal defect in infancy. Primary repair versus banding of pulmonary artery and later repair.
    Author: McNicholas K, de Leval M, Stark J, Taylor JF, Macartney FJ.
    Journal: Br Heart J; 1979 Feb; 41(2):133-8. PubMed ID: 426962.
    Abstract:
    Results of primary closure of ventricular septal defects are compared with those of two-stage repair, with banding of the pulmonary artery followed by debanding and closure. Apart from the high incidence of unsatisfactory results after banding and a significant morbidity with the two-stage approach, the mortality for primary repair (2.4%) is considerably lower than that achieved with the staged repair (19.3%). Primary repair of ventricular septal defect is advocated for infants resistant to maximal medical treatment. A more flexible policy is adopted for patients with multiple ventricular septal defects and those with associated anomalies.
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