The choice of time of operation for congenital heart disease in children

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Abstract: the timing of surgery for congenital ventricular defect, in principle, after the diagnosis of VSD, in addition there are contraind

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Abstract: the timing of surgery for congenital ventricular defect, in principle, after the diagnosis of VSD, in addition there are contraindications, elective surgery or interventional therapy should, in order to avoid the occurrence of bacterial endocarditis, and affect the development of normal life, and even the loss of the timing of surgery.

For less than 3mm was missing, although can not surgery, but for future studies, to participate in work and check will be affected, recommendations or surgery or interventional.

The timing of surgery for congenital ventricular defect, in principle, after the diagnosis of VSD, in addition there are contraindications, elective surgery or interventional therapy should, in order to avoid the occurrence of bacterial endocarditis, and affect the development of normal life, and even the loss of the timing of surgery. The best intervention after the age of 3.

Because of the small defect of self closure may, infants do not consider surgery, such as no obvious defect in the diameter of pulmonary artery pressure, left ventricle were enlarged, can be appropriate in preschool surgery; large diameter defect, heart and lung function were damaged seriously, especially after active treatment in the Department of respiratory, heart still frequent failure, such as the extension of time, the natural mortality rate is higher, but due to the development of secondary pulmonary vascular lesions early and fast, lost the opportunity of surgery, so that surgery in less than 2 years old. High defect associated with aortic valve prolapse, to prevent the valve prolapse occurred were long-term aortic insufficiency, especially early operation.

Room size can be divided into large, medium and small type. With its ascending aorta diameter control (aortic diameter measurements can be found in the cardiac ultrasound report), defect diameter greater than 2 / 3 of their aortic diameter called large VSD, 2 / 3 - 1 / 3 for moderate aortic diameter of VSD, less than 1 / 3 of its intra aortic diameter is was missing.

Keyword: room for the lack of room for treatment

 

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