Ventricular septal defect post-surgical prognosis: Difference between revisions
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{{CMG}}and Leida Perez, M.D.; '''Associate Editor-In-Chief:''' [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu], [[Priyamvada Singh]], [[MBBS]] | {{CMG}}and Leida Perez, M.D.; '''Associate Editor-In-Chief:''' [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu], [[Priyamvada Singh]], [[MBBS]] | ||
== Post-operative Treatment == | == Post-operative Treatment == | ||
===Post-operative course=== | |||
* The operative mortality for an elective repair is less than 2%. | * The operative mortality for an elective repair is less than 2%. | ||
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* There is a residual defect in 14% to 25% of patients which is hemodynamically insignificant | * There is a residual defect in 14% to 25% of patients which is hemodynamically insignificant | ||
* A persistent RBBB in the majority of patients due to disruption of the [[Purkinje fibers]]. | * A persistent [[RBBB]] in the majority of patients due to disruption of the [[Purkinje fibers]]. | ||
* In patients over 3 at the time of the operation, there is often residual and progressive pulmonary hypertension and or residual [[ventricular dysfunction]]. | * In patients over 3 at the time of the operation, there is often residual and progressive pulmonary hypertension and or residual [[ventricular dysfunction]]. | ||
* The risk of [[endocarditis]] following closure is similar to that in the general population. Because small defects are frequent, antibiotic prophylaxis is still recommended. | * The risk of [[endocarditis]] following closure is similar to that in the general population. Because small defects are frequent, [[antibiotic]] prophylaxis is still recommended. | ||
== References == | == References == | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Cardiology]] | |||
[[Category:Congenital heart disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Disease]] | |||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:23, 8 January 2013
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Ventricular septal defect Microchapters | |
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Differentiating Ventricular Septal Defect from other Diseases | |
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Diagnosis | |
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ACC/AHA Guidelines for Surgical and Catheter Intervention Follow-Up | |
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Case Studies | |
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Ventricular septal defect post-surgical prognosis On the Web | |
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American Roentgen Ray Society Images of Ventricular septal defect post-surgical prognosis | |
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Ventricular septal defect post-surgical prognosis in the news | |
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Risk calculators and risk factors for Ventricular septal defect post-surgical prognosis | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]and Leida Perez, M.D.; Associate Editor-In-Chief: Keri Shafer, M.D. [2], Priyamvada Singh, MBBS
Post-operative Treatment
Post-operative course
- The operative mortality for an elective repair is less than 2%.
- It is increased by the presence of associated anomalies, multiple defects, or if there is severe pulmonary hypertension.
- Late follow-up shows that their life expectancy is restored to that of age matched controls (except in those over the age of three with severe pulmonary hypertension).
- There is a residual defect in 14% to 25% of patients which is hemodynamically insignificant
- A persistent RBBB in the majority of patients due to disruption of the Purkinje fibers.
- In patients over 3 at the time of the operation, there is often residual and progressive pulmonary hypertension and or residual ventricular dysfunction.
- The risk of endocarditis following closure is similar to that in the general population. Because small defects are frequent, antibiotic prophylaxis is still recommended.