Introduction. Surgical correction of a ventricular septal defect (VSD) is one of the most common procedures done in a cardiac surgery
department. Due to a wide spread of operative treatment given to children with such a pathology, it is a topical issue to evaluate
direct results of the surgical correction of VSD in different age groups.
Material and methods. The data of 111 patients who had been undergoing surgery for VSD were studied. According to age, patients
were divided into 3 groups. Group 1 – up to 1 year (n=27), group 2 – from 1 to 3 years (n=14), and group 3 – from 3 to 7 years
(n=70). Evaluation criteria were based on results of postoperative echocardiography, and cases of heart rate disturbance. The surgical
correction was characterized as optimal, ade-quate and inadequate.
Results. Optimal results of operative treatment were shown in 44 (39,6 %) cases out of all patients observed. Of them, there were
14 children in group 1 (51,9% out of all patients in the group), and 7 in group 2 (50%), 23 in group 3 (32,9%). Criteria of adequate
correction were found in 59 (53,2%) surgical correction analyzed. Such a result was shown by 10 (37,0%) children in group 1, in
group 2 – 6 (35,3%), and 43 in group 3 (61,4%). Temporary atrioventricular block was recorded once (3,7%) in group 1 and 3 times
(4,3%) in group 3. Signs of inadequate correction were associated with 8 patients (7,2%). Of them, in group 1 – 3 (11,1% out of all
patients in the group) children , in group 2 – 1 (7,1%), and in group 3 – 4 (5,7%). Unsatisfactory results were related to a significant
recanalization of the defect in 4 cases, valvular insufficiency in 3, and complete atrioventricular block in 4 patients' cases.
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