Surgical treatment of ventricular septal defect in infancy. Primary repair versus banding of pulmonary artery and later repair. Issue 2 (February 1979)

• Record Type: Journal Article
• Authors: McNicholas, K; de Leval, M; Stark, J; Taylor, J F; Macartney, F J
• Is Part Of: Heart. Volume 41:Issue 2(1979)
• Page Start: 133
• Page End: 138
• Publication Date: 1979-02
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.41.2.133
• Languages: English
• ISSNs: 1355-6037

Abstract

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.