Ventricular Septal Defects

S. Natarajan, Meryl S. Cohen
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Abstract

Abstract Ventricular septal defects (VSDs) remain one of the commonest indications for surgery among infants and children with congenital heart disease. With advancements in echocardiography, there remains a very limited need for cardiac catheterization in the management of these patients. Although perioperative mortality and morbidity remain low for isolated defects, special scenarios like the surgical management of multiple VSDs and the decision making in patients with pulmonary hypertension remain a challenge. This chapter reviews both the classic and current evidence shaping the management of this condition with a brief mention of the data behind emerging interventional procedures used both in the catheterization laboratory and the operating room.
室间隔缺损
室间隔缺损(VSDs)仍然是婴儿和儿童先天性心脏病最常见的手术指征之一。随着超声心动图技术的进步,在这些患者的治疗中,对心导管插入术的需求仍然非常有限。尽管孤立缺陷的围手术期死亡率和发病率仍然很低,但在特殊情况下,如多发室间隔缺损的手术处理和肺动脉高压患者的决策仍然是一个挑战。本章回顾了经典和当前的证据,形成了这种情况的管理,并简要介绍了在导管实验室和手术室中使用的新兴介入程序背后的数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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