Abstract

LOPEZ-RUIZ, Nilson et al. Ventricular septal defects in adults: 15 years of surgical experience in a single Colombian cardiovascular center. Arch. Cardiol. Méx. [online]. 2013, vol.83, n.1, pp.24-30. ISSN 1665-1731.  https://doi.org/10.1016/j.acmx.2013.01.011.

Objective: To review the surgical experience with ventricular septal defects in adults in Colombia. Method: Descriptive, retrospective study of surgically repaired patients between 1995 and Heart septal defects; 2010. Clinical, echocardiographic, hemodynamic, and surgical findings were related to hospital Pulmonary and outpatient outcomes. Results: Fifty-two patients were analyzed (mean age 29.3±9.9 years, 54% women). Ventricular septal defects were classified, according to the Society of Thoracic Surgeons, as type 2 (membranous, 84.6%), type 1 (subarterial, 13.5%), and type 3 (inlet, 1.9%). Dyspnea, Qp/Qs ≥ 2, and pulmonary hypertension were the most common indications for surgery. No peri-operative deaths were found. Outpatient mean follow-up was 2.7±3.6 years and was possible for 90% of the original cohort and late mortality was 5% (one case). Despite that residual ventricular septal defects (29%) were frequent, no patient required surgical re-intervention for this reason. Improvements in functional class and pulmonary artery systolic pressure were also observed. Conclusions: Surgical closure of ventricular septal defects in adults is a safe procedure without early mortality and a low complications index. Residual ventricular septal defects underline the need for life-long follow-up.

Keywords : Cardiac surgical procedures; Doppler echocardiography; Heart septal defects; Pulmonary hypertension; Colombia.

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