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A Study on the Pre-and Post-operative Growth Status of Children with Ventricular Septal Defect.

Journal of the Korean Pediatric Society 1990;33(4):463-471.
Published online April 30, 1990.
A Study on the Pre-and Post-operative Growth Status of Children with Ventricular Septal Defect.
Kyung Hwan Kim, Chan Yung Kim
Department of Pediatrics, College of Midicine, Pusan National University, Pusan, Korea
심실 중격 결손증 환아의 개심술 전후 성장 평가
김경환, 김찬영
부산대학교 의과대학 소아과학교실
Received: 9 August 1989   • Accepted: 23 October 1989
Abstract
To evaluate the growth status of Congenital Heart Disease, we analyzed the 69 children with Ventricular Septal Defect who were admitted to Pediatric department and Chest Surgery department, Pusan National University Hospital from January, 1986 to June, 1987. The result of study were as follows: 1) This group was composed of 69 consecutive operation on children with ventricular septal defect. The sex distribution chanced to be 37 boys and 32 girls, the sex ratio thus being 1.2:1. 2) Prior to operation, the mean weight and height percentile of both boys and girls were below the normal, and the mean postoperative weight and height percentile were increased in both boys and girls were below the normal, but boys weight value was statistically significant acceleration after surgery (p<0.01). 3) The greatest acceleration in mean weight after operation was seen in the case of both boys and girls (p<0.01) in the group submitted to operation at the earliest age (under 6yrs). 4) The physical capacity was reduced preoperatively in both boys and girls. The number of children who already preoperatively were considered to be normal improved still further after surgery. 5) The degree of Right ventricular hypertrophy in electrocardiographic findings was significantly reduced in boys, but in girls. 6) Heart size in chest X-ray was above normal in both boys and girls before operation and no significant change after surgery.
Key Words: Ventricular septal defect, Growth Status


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