Evolution of Ventricular Septal Defect with Special Reference to Spontaneous Closure Rate, Subaortic Ridge and Aortic Valve Prolapse

Autor: S. Bakari, Levent Saltik, Gülay Ahunbay, Funda Oztunc, Ayşe Güler Eroğlu, S. Dedeoglu
Rok vydání: 2003
Předmět:
Zdroj: Pediatric Cardiology. 24:31-35
ISSN: 1432-1971
0172-0643
Popis: The medical records of 2283 patients with ventricular septal defect (VSD) were reviewed to determine spontaneous closure, left ventricular-to-right atrial shunt, subaortic ridge, and aortic valve prolapse. One thousand eight hundred and twenty-three patients had been followed 1 month to 26 years (median 4 years) by echocardiography. Most of 460 patients could not be followed due to transportation of the institution. VSD was perimembranous in 68.8% (1255), trabecular muscular in 21.7% (395), muscular outlet in 6% (109), muscular inlet in 2.6% (48), and doubly committed subarterial in 0.9% (16). Defect size was classified in 66.8% (1218) as small, in 15.7% (286) as moderate, and in 17.5% (319) as large. VSD closed spontaneously in 18.8% (343 of 1823 patients) by ages 40 days to 24.9 years (median, 1.8 years). One hundred fifty-seven of 1255 perimembranous defects (12.5%) and 167 of 395 trabecular muscular defects (42%) closed spontaneously (p
Databáze: OpenAIRE