|
KMID : 0364019720050010029
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1972 Volume.5 No. 1 p.29 ~ p.33
|
|
|
Pulmonary Artery Banding for Ventricular Septal Defect
|
|
趙範九/Cho, B.K.
崔龍萬/金昌權/洪承祿/Choi, Y.M./Kim, C.K./Hong, S.N.
|
|
|
Abstract
|
|
|
Interventricular Septal Defect is probably the most common congenital cardiac lesion. Despite rapid technical advances and increasing surgical experience the risk of surgical intervention for correction of Ventricular Septal Defect in infants with pulmonary hypertension remains formidable.
Since Sirak et al (1959) reported a succesful case of two stage approach to their surgical correction, it has led to a policy of primary palliation, followed by complete correction as a secondary procedure, after age 3 to 4 years.
Most surgeon prefer to perform complete correction of Ventricular Septal Defect when body weight exceeds 30 Lbs. and before development of so-called Eisenmenger´s complex, for the good post operative results.
Authors report 2 cases of Ventricular Septal Defect with pulmonary hupertension, who was underwent pulmonary artery banding as a palliative procedure in the Department of Surgery, Severance Hospital Yonsei University.
Case 1: 4 year old male, initially a complete correction of Ventricular Septal Defet was attempted by the help of mild hypothermia and extracorporeal circulation. During the procedure of a construction of an extracorporeal by-pass, a sudden cardiac arrest developed. After resuscitation of the heart pulmonary artery banding was performed as a palliation. On the first postoperative day the patient developed generalized tonic convulsion, cyanosis, vomiting and eventually shock. Patient discharged home after a full recovery. Case 2.: 9 months old female, the pulmonary artery constricted with Teflon patch succesfully. After the patient´s first postoperative day several cyanotic spells developed followed by 3 cardiac arrests. This repeated until when she expired with respiratory failure.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|
|