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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%.
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.
8 mar 2024 · Ventricular septal defects (VSDs) are among the most common congenital heart lesions. VSDs occur in isolation or in combination with other congenital heart disease defects, as in an atrioventricular canal, tetralogy of Fallot, and, occasionally, D-transposition of the great arteries.
Mortality and survival. The mortality rate was 3.9% (28), with a median age of death being 2.9 months (IQR: 1.9–8.3 months) ranging from 16 days to 2.9 years. Of 28 deaths, 16 (57%) occurred preoperatively and 2 (7.1%) after 30 days of surgery. There is no death occurring within 30 days of surgery.
VSDs were classified according to the Society of Thoracic Surgeons as type 2 (membranous, 72%) or type 1 (subarterial, 26%). Aortic regurgitation (AR) (28%), left ventricular dilation (20%), and pulmonary hypertension (20%) were the most common indications for closure.
24 lis 2022 · Patients with surgically closed VSD displayed survival rates of 94% (95% CI: 92–96), 93% (95% CI: 91–95), 90% (95% CI: 87–93), and 89% (95% CI: 86–92) at 10, 20, 30, and 40 years after surgical closure .
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].
