Congenital heart disease with surgical treatment of pulmonary hypertension 186.doc

 PAGE \* MERGEFORMAT 7 Congenital heart disease with surgical treatment of pulmonary hypertension 186 [Abstract] congenital heart disease with pulmonary hypertension, surgery should be strictly controlled to adapt to sign, complete preoperative preparation, appropriate surgical techniques, postoperative pulmonary artery pressure-lowering effective treatment and respiratory management, can improve the treatment success rate. [Keywords:] Surgical treatment of pulmonary hypertension in congenital heart disease January 2002 -2008 year in January I treated subjects had congenital heart disease with 186 cases of pulmonary hypertension, in which patients with severe pulmonary hypertension in 63 cases, now-operative period following treatment of the final report. 1 Data and methods 1.1 General information on the whole group of patients with a total of 186 cases, 81 cases of male and female 105 cases, aged 11 months -53 years old, in which 112 patients with simple ventricular septal defect, atrial septal defect in 25 cases of the merger, the merger 34 cases of patent ductus arteriosus, ventricular septal defect atrial septal defect with patent ductus arteriosus in 7 cases, partial endocardial cushion defect in 8 cases. The whole group of cases, according to MPAP criteria, 44 patients with moderate pulmonary hypertension, severe pulmonary hypertension in 19 cases, 26 patients had cyanosis after the event, 17 patients without significant systolic murmur, preoperative echocardiography 168 patients with left to right shunt, bi-directional shunt mainly to the left to right in 18 cases, preoperative oxygen saturation between 77% -96%. Severe pulmonary hypertension blood gas analysis between the oxygen partial pressure 45-87mmHg. 1.2 to prepare the whole group of patients with preoperative symptoms with routine cardiac surgery according to pre-inspection, the necessary line of right heart catheterization, clear the extent of pulmonary hypertension. To be the strict contr