Ventricular septal defect post-surgical prognosis: Difference between revisions
Jump to navigation
Jump to search
New page: {{Ventricular septal defect}} {{CMG}}and Leida Perez, M.D. '''Associate Editor-In-Chief:''' Keri Shafer, M.D. [mailto:kshafer@bidmc.harvard.edu], [[Priyamvada Singh]... |
No edit summary |
||
| Line 12: | Line 12: | ||
'''Post-operative course''': | '''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. | |||
In patients over 3 at the time of the operation, there is often residual and progressive pulmonary hypertension and or residual ventricular dysfunction. | *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. | |||
==References== | ==References== | ||
Revision as of 15:32, 11 July 2011
|
Ventricular septal defect Microchapters | |
|
Differentiating Ventricular Septal Defect from other Diseases | |
|---|---|
|
Diagnosis | |
|
ACC/AHA Guidelines for Surgical and Catheter Intervention Follow-Up | |
|
Case Studies | |
|
Ventricular septal defect post-surgical prognosis On the Web | |
|
American Roentgen Ray Society Images of Ventricular septal defect post-surgical prognosis | |
|
Ventricular septal defect post-surgical prognosis in the news | |
|
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.