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14 kwi 2024 · Surgical repair of VSDs offers several benefits, including a reduced risk of endocarditis, potential improvement in PAH, and overall survival. In the absence of PAH, the operative mortality rate is approximately 1%.
Outcome data of VSD closure in adults on which to base recommendations are limited. Guidelines recommend closure of adult VSD for a Q p /Q s ratio ≥2, left ventricular volume overload, or endocarditis. Methods: We retrospectively reviewed 46 patients (mean age 33.6 ± 11.2 years, 24 women) who underwent surgical VSD closure (1958 to 2008). Results:
When one examines Fontan procedures in patients with unbalanced AVSDs, the mortality rates (17 to 31.7%) were higher 144, 145 and actuarial survival rates (66.5% at 5 years and 64.4% at 15 years) were lower 146 and there were more surgical and catheter re-interventions (51.9%) 145.
16 sie 2018 · Patients with small VSDs are thought to have excellent long-term survival, although complications (double-chamber RV, IE, aortic valve prolapse and aortic regurgitation) may manifest in adulthood; consequently, patients with small VSDs warrant lifelong follow-up.
14 mar 2022 · Ventricular septal defect (VSD) is one of the most common congenital heart defects (second only to bicuspid aortic valve) at birth, but accounts for only 10 percent of congenital heart defects in adults because many close spontaneously [1,2].
18 lut 2022 · The surgical outcomes of VSD closure were excellent, and the survival rates at 10 and 20 years after surgery were 97.0% and 91.7%, respectively. Preoperative AR and coronary cusp deformity with or without prolapse were associated with a moderate or greater degree of AR at the late follow-up.
In our series, patients who Received Date: SIT had a better survival (10-year survival of 90%) than those who were under medical treatment (10-year survival of 60%). Residual VSDs occur in 26.7 % of the cases, regardless of SIT, but these VSDs were small and hemodynamically insignificant.
