COMUNICACION INTRAVENTRICULAR PDF

Percutaneous closure of ventricular septal defect by Amplatzer occluder : Immediate and mid-term follow up results. ISSN Background: Percutaneous perimembranous VSD occlusion is still considered an experimental method where a variety of devices have been tested. Method: We included 6 patients 1 man and 5 women with a mean age of 9. Results: In one of the patients, positioning of the device was not possible intention to treat success rate,

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El objetivo de este trabajo es llevar esa idea al pediatra general. Ventricular septal defect is the most frequently diagnosed congenital heart defect. The prognosis is usually good. The aim of this study was to describe this idea to general pediatricians. We review the follow-up of 81 patients with ventricular septal defect. Defects that spontaneously closed in the first 12 months of life and those that formed part of a malformative syndrome or a complex congenital heart defect were excluded.

Localization was perimembranous, including all defects affecting mainly the septal membrane independent of whether the surrounding tissues were involved, in Perimembranous position was more frequent among large and medium-sized defects. Large and perimembranous defects were characterized by holosystolic murmur; in small, muscular defects, murmur was cut off in mid-systole.

In Generally we observed a tendency to partial closure and to improvement. Surgical closure was required in 9. Because of the trend to partial or complete spontaneous closure, the prognosis of ventricular septal defect is generally good. ISSN: Follow-up of longstanding ventricular septal defects. Descargar PDF.

Hospital Universitario Central de Asturias. Palabras clave:. Objective Ventricular septal defect is the most frequently diagnosed congenital heart defect. The aim of this study was to describe this idea to general pediatricians Material and methods We review the follow-up of 81 patients with ventricular septal defect.

Defects that spontaneously closed in the first 12 months of life and those that formed part of a malformative syndrome or a complex congenital heart defect were excluded Results Localization was perimembranous, including all defects affecting mainly the septal membrane independent of whether the surrounding tissues were involved, in Key words:. Ventricular septal defect. Bound, W. Incidence of congenital heart disease in Blackpool Br Heart J, 39 , pp. Dickinson, R. Arnold, J. Ventricular septal defect in children born in Liverpool to Evaluation of natu-ral course and surgical implications in an unselected popula-tion.

Br Heart J, 46 , pp. Feldt, P. Avasthey, F. Yoshimasu, L. Kurland, J. Inci-dence of congenital heart disease in children born to residents of Olmsted County, Minnesota Mayo Clin Proc, 46 , pp.

Hoffman, R. Congenital heart disease in a cohort of Am J Cardiol, 42 , pp. Collins, L. Calder, V. Rose, L. Kidd, J. Ventricular septal defect: Clinical and hemodynamical changes in the first five years of life.

Am Heart J, 84 , pp. Corone, F. Doyon, S. Gaudeau, F. Guerin, P. Vernant, H. Ducam, et al. Natural history of ventricular septal defect. A study invol-ving cases. Circulation, 55 , pp. Keith, V. Rose, G. Collins, B. Incidence, morbidity and mortality in various age groups.

Br Heart J, 33 , pp. Shirali, E. Smith, T. Quantitation of echocardiographic predictors of outcome in infants with isolated ventricular septal defect. Am Heart J, , pp. Turner, S. Hunter, J. The natural history of ventricu-lar septal defects. Arch Dis Child, 81 , pp. Moss, F. Adams, G. Heart disease in infants, children and adolescents,.

Hagler, W. Edwards, J. Seward, A. Standardized nomenclature of the ventricular septum and ventricular septal defects, with applications for two-dimensional echocardio-graphy. Mayo Clin Proc, 60 , pp. Actualizado el 23 de Marzo. Are you a health professional able to prescribe or dispense drugs?

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Ventricular septal defect

El objetivo de este trabajo es llevar esa idea al pediatra general. Ventricular septal defect is the most frequently diagnosed congenital heart defect. The prognosis is usually good. The aim of this study was to describe this idea to general pediatricians. We review the follow-up of 81 patients with ventricular septal defect. Defects that spontaneously closed in the first 12 months of life and those that formed part of a malformative syndrome or a complex congenital heart defect were excluded.

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Comunicació interventricular

A ventricular septal defect VSD is a defect in the ventricular septum , the wall dividing the left and right ventricles of the heart. The extent of the opening may vary from pin size to complete absence of the ventricular septum, creating one common ventricle. The ventricular septum consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes. The membranous portion, which is close to the atrioventricular node , is most commonly affected in adults and older children in the United States.

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Comunicación interventricular

Surgical treatment of multiple ventricular septal defects VSDs is complex, particularly with anterior and apical locations. Normally, several interventions are required, increasing the risk of adverse effects and death unrelated to the residual shunts. There is also a greater need for ventriculotomies and extensive sectioning to facilitate access. Percutaneous approach is also difficult, particularly in small children who have limited vascular access and may poorly tolerate the use of large devices. Percutaneous device placement under direct vision with extracorporeal circulation ECC and cardioplegia have not produced outstanding results. The technique was updated by Bacha et al 3 with excellent results in the first consecutive series of patients studied. The self-expandable double-disk device is made from nitinol mesh with the disks joined by a 7 mm waist.

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