Ventricular septal defect post-surgical prognosis: Difference between revisions

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{{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 Treatment==
'''Post-operative course''':
'''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%.
* 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}}


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{{WH}}


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{{WS}}

Revision as of 18:10, 25 August 2012


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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.

References

Template:WH

Template:WS