Warning: fopen(/home/virtual/pediatrics/journal/upload/ip_log/ip_log_2024-03.txt) [function.fopen]: failed to open stream: Permission denied in /home/virtual/pediatrics/journal/ip_info/view_data.php on line 82

Warning: fwrite(): supplied argument is not a valid stream resource in /home/virtual/pediatrics/journal/ip_info/view_data.php on line 83
The Criteria for Surgical Correction of Ventricular Septal Defect by Non-invasive Diagnostic Methods.

Journal of the Korean Pediatric Society 1986;29(8):830-835.
Published online August 31, 1986.
The Criteria for Surgical Correction of Ventricular Septal Defect by Non-invasive Diagnostic Methods.
Chuhl Joo Lyu, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin
Department of Pediatrics, Yonsei University, College of Medicine, Seoul, Korea
심실중격 결손증 환아에서 비침투적 방법을 이용한 수술 적응 기준에 관한 고찰
유철주, 설준희, 이승규, 진동식
연세대학교 의과대학 소아과학교실
Abstract
In selected cases, early corrective surgery is indicated in the management of infants with moderate or large ventricular septal defects. The risks of any surgical procedure in infancy are acknowledged to be great and should be avoided if possible. However, these surgical risks are justified when the patients have intractable congestive heart failure, marked growth retardation, recurrent prolonged lower respiratory infections and severe pulmonary hypertension. Cardiac catheterization should be included for diagnosis of congenital heart diseases before surgery. However, the risk of such study, even in experienced laboratories, is life threatening among the small, severely ill infants. Thirty-six infants and children under the age of 2 years underwent patch closure of a ventricular septal defect without cardiac catheterization and revealed good results. All patients were selected under the criteria of operation without cardiac catheterization. We concluded that two dimensional echocardiography provided a reliable and promising non-invasive method of identifying the ventricular septal defect in high risk small, severely ill patients.
Key Words: Ventricular septal defect, Two dimensional echocardiography.


METRICS Graph View
  • 798 View
  • 8 Download