Dry-type ventricular septal defect following surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 10 Dry-type ventricular septal defect following surgical treatment of Objective: To explore the dry-type ventricular septal defect, under the clinical characteristics and therapeutic effect. Methods: The ventricular septal defect patch repair 191 cases, direct suture in 18 cases, with folded suspension surgery for aortic valve combined aortic valve regurgitation. Results: 4 deaths, 205 cases of survival results were satisfactory, no residual fistula and a new aortic valve regurgitation occurs. Conclusion: Under the dry-type ventricular septal defect patch repair should be mainly used folding sling for treating aortic valve combined with aortic insufficiency and effective. In our hospital from May 1974 to August 1998 were performed with ventricular septal defect (Ventricular septal defect, VSD) repair surgery 1 160 cases, of which, under dry-type VSD (Subconal ventricular septal defect, SCVSD) 209 cases, accounting for 18% ( does not include tetralogy of Fallot in SCVSD). As part of a special SCVSD, and is often associated with aortic valve prolapse (Aortic valve prolapse, AP) and aortic valve regurgitation (Aortic insufficiency, AI), therefore, this type of VSD membranous VSD with the common clinical features and surgical treatment of different. Is right in this group the clinical characteristics and surgical treatment to be analyzed and discussed. 1 Materials and methods 1.1 Clinical data 209 cases in this group, the male 122 cases, female 87 cases, aged 2 to 35 years old, with an average (8.2 ± 5.1) years of age. Weight of 10 ~ 59 kg, mean (24.2 ± 11.8) kg. Defect diameter of 0.4 ~ 3.0 cm, mean (1.2 ± 0.6) cm. Malformation include: AP47 cases, of which AI 16 cases (mild in 9 cases of moderate to severe in 7 cases), three cases of patent ductus arteriosus, aortic sinus aneurysm rupture in 3 cases, right ventricular outflow tract obstruction in 18 cases, pulmonary valve 2 deformities and stenosis in 5 cases, corrected transposition