Ventricular septal defect in children with congenital heart disease

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Abstract: the lack of surgical closure of congenital ventricular ventricular septal defect: the surgeon and congenital heart disease experts

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Abstract: the lack of surgical closure of congenital ventricular ventricular septal defect: the surgeon and congenital heart disease experts, trained for VSD closure operation (I /C). In two, pulmonary to systemic blood flow ratio (Qp/Qs = 2). Surgical closure of ventricular septal defect of congenital ventricular defect

A trained surgeon and a specialist with congenital heart disease can be performed with a closed procedure (/C).

In two, pulmonary to systemic blood flow ratio (Qp/Qs = 2), and the clinical examination confirmed the presence of left ventricular volume overload in patients should be closed VSD (I /B).

Three. Patients with a history of infective endocarditis may undergo VSD closure (I /C).

Four, for the pulmonary artery pressure is lower than the systemic blood pressure of 2/3, pulmonary vascular resistance is less than systemic vascular resistance of 2/3, Qp/Qs>1.5 and there is a simple left to right shunt of patients, can be closed VSD (a/B).

Five. For patients with left ventricular systolic or diastolic dysfunction, Qp/Qs>1.5 and left to right shunt, VSD can be closed (a/B).

Six. For patients with severe irreversible PAH, VSD should not be closed (/B).

Congenital ventricular cardiac catheterization.

An assessment of ventricular septal defect with pulmonary hypertension (PAH) patients with adult feasibility of cardiac catheterization, should be in the local area in adult congenital heart disease (ACHD) cooperation center and relevant experts (class I suggested that the level of evidence: C, referred to as /C).

In two, the non-invasive examination results and treatment need more uncertain information, VSD in adult patients undergoing cardiac catheterization are effective. The following data should be collected for inspection

1 defect discharge (a/B);

2 to determine the pulmonary artery pressure and resistance in patients with suspected PAH, and to determine the reversibility of PAH (a/B);

3 evaluation of other cardiac lesions, such as aortic regurgitation and double chambered right ventricle (a/C);

4 to determine the presence of multiple ventricular defects before surgery (a/C);

5 coronary angiography should be performed in patients with coronary artery disease (a/C);

6 should be aware of the anatomy of the VSD, especially in the case of the intended plugging device (a/C).

Key words: lack of therapeutic room

 

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