Journal ArticleDOI
Ventricular Septal Defect.
TLDR
Surgical closure is recommended for only small defects with significant associated lesions such as aortic regurgitation, aortric valve prolapse, right or left ventricular outflow obstruction, tricuspid regression, left ventricle to right atrial shunt, or recurrent endocarditis as mentioned in this paper.Abstract:
Ventricular septal defects (VSDs) are the most common congenital heart malformations seen in children. Because spontaneous closure occurs frequently, patients with small VSDs should be followed clinically with no limitations except endocarditis prophylaxis. Surgical closure is recommended for only small defects with significant associated lesions such as aortic regurgitation, aortic valve prolapse, right or left ventricular outflow obstruction, tricuspid regurgitation, left ventricle to right atrial shunt, or recurrent endocarditis. Enlarging left ventricular size or deteriorating left ventricular function would also be an indication for surgical repair. Moderate and large VSDs in infancy often require treatment of congestive heart failure with diuretics, digitalis, and afterload reduction. Surgical closure before 9 months of age is indicated for large VSDs and by 2 years of age for moderate shunts to prevent pulmonary vascular obstructive disease and the consequences of long-standing volume overload. Device closure of VSD is still in the investigational stage but holds promise for treatment of apical or multiple muscular VSDs.read more
Citations
More filters
Journal ArticleDOI
Prevalence of congenital heart disease
TL;DR: Survival of patients with congenital heart disease, treated or untreated, is expected to produce large numbers of adults with congenitals disease, and it is likely that many more adult cardiologists will need to be trained to manage moderate and complex congenital lesions.
Journal ArticleDOI
Developmental patterning of the myocardium.
David Sedmera,David Sedmera,Tomas Pexieder,Mauricette Vuillemin,Robert P. Thompson,Robert H. Anderson +5 more
TL;DR: It is concluded that experimental studies uncovering the rules of myocardial assembly are relevant for the full understanding of development of the human heart.
Journal ArticleDOI
Ventricular Septal Defects
Mary S. Minette,David J. Sahn +1 more
TL;DR: The present article describes the clinical aspects of ventricular septal defects and current management strategies.
Journal ArticleDOI
Transcatheter closure of congenital ventricular septal defects: results of the European Registry
Mario Carminati,Gianfranco Butera,Massimo Chessa,Joseph V. De Giovanni,Gunter Fisher,Marc Gewillig,Mathias Peuster,JF Piechaud,Giuseppe Santoro,Horst Sievert,Isabella Spadoni,Kevin Walsh +11 more
TL;DR: Transcatheter closure of congenital VSDs offers encouraging results; the most relevant one seems to be the device related to cAVB in perimembranous VSD.
Journal ArticleDOI
Transcatheter closure of perimembranous ventricular septal defects: early and long-term results.
Gianfranco Butera,Mario Carminati,Massimo Chessa,Luciane Piazza,Angelo Micheletti,Diana Negura,Raul Abella,Alessandro Giamberti,Alessandro Frigiola +8 more
TL;DR: In the current era and in experienced hands, pmVSD closure can be performed safely and successfully, and the major concern is the occurrence of cAVB; therefore, very careful monitoring of rhythm is mandatory during follow-up.
References
More filters
Journal ArticleDOI
Prevention of Bacterial Endocarditis: Recommendations by the American Heart Association
Adnan S. Dajani,Kathryn A. Taubert,Walter R. Wilson,Ann F. Bolger,Arnold S. Bayer,Patricia Ferrieri,Michael H. Gewitz,Stanford T. Shulman,Soraya Nouri,Jane W. Newburger,Cecilia Hutto,Thomas J. Pallasch,Tommy W. Gage,Matthew E. Levison,Georges Peter,Gregory Zuccaro +15 more
TL;DR: Major changes were instituted to more clearly define when prophylaxis is or is not recommended, improve practitioner and patient compliance, reduce cost and potential gastrointestinal adverse effects, and approach more uniform worldwide recommendations.
Journal ArticleDOI
Congenital Heart Disease in 56,109 Births Incidence and Natural History
TL;DR: Within a prospective study of 56,109 total births, 457 youngsters have been found to have congenital heart disease, and essentially equal numbers of blacks and whites had all types of coarctation of the aorta in line with the study population, which is 47% black and 53% white.
Journal ArticleDOI
Prevention of Bacterial Endocarditis: Recommendations by the American Heart Association
Adnan S. Dajani,Kathryn A. Taubert,Walter R. Wilson,Ann F. Bolger,Arnold S. Bayer,Patricia Ferrieri,Michael H. Gewitz,Stanford T. Shulman,Soraya Nouri,Jane W. Newbuger,Cecilia Hutto,Thomasj Paliasch,Tommy W. Gage,Matthew E. Levison,Georges Peter,Gregory Zuccaro,Richard A. Wiklund +16 more
TL;DR: Major changes were instituted to more clearly define when prophylaxis is or is not recommended, improve practitioner and patient compliance, reduce cost and potential gastrointestinal adverse effects, and approach more uniform worldwide recommendations.
Journal ArticleDOI
Respiratory syncytial viral infection in infants with congenital heart disease.
Noni E. MacDonald,Caroline B. Hall,Stephen C. Suffin,Chloe Alexson,Peter Harris,James Manning +5 more
TL;DR: Nine of the 11 infants (73 per cent) with congenital heart disease and pulmonary hypertension died during their RSV illness, and the infants with RSV infection had a higher mortality rate than the others.
Journal ArticleDOI
Inhaled nitric oxide in congenital heart disease
TL;DR: Inhaling low levels of NO may provide an important and safe means for evaluating the pulmonary vasodilatory capacity of patients with congenital heart disease without producing systemic vasodilation.