Ventricular septal defect post-surgical prognosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Ventricular septal defect}} | {{Ventricular septal defect}} | ||
{{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]] | ||
==Overview== | == Overview == | ||
== Post-operative Treatment == | |||
'''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. | |||
*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). | * 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 | * 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}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 18:10, 25 August 2012
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Ventricular septal defect Microchapters | |
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Differentiating Ventricular Septal Defect from other Diseases | |
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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
Overview
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.