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April 1, 1963CirculationOpen Access

Physiologic Studies Following Surgical Correction of Ventricular Septal Defect

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Key result

Following surgical closure of ventricular septal defect, pre-existing moderate or severe pulmonary vascular disease was associated with abnormally low cardiac output and high mortality (5 of 8 died).

Why the study?

Does pre-existing pulmonary vascular disease severity affect postoperative hemodynamics and survival following surgical closure of ventricular septal defect?

Population

16 patients undergoing surgical closure of ventricular septal defect

Comparison

Surgical closure of ventricular septal defect vs Patients with absent or mild pulmonary vascular…

Design

Cohort

Follow-up

3 days

Authors

RTRichard A. TheyeBoston UniversityJKJohn W. KirklinCardiac Surgery

Discussion

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Implication

May warrant caution before VSD closure in moderate-severe PVD; leaves open prospective validation of risk thresholds.

Study Design

Type

Observational (n=16)

Structured PICO

Does pre-existing pulmonary vascular disease severity affect postoperative hemodynamics and survival following surgical closure of ventricular septal defect?

P
Population
16 patients studied immediately and for 3 days following surgical closure of ventricular septal defect, stratified by severity of pre-existing pulmonary vascular disease.
E
Exposure
Surgical closure of ventricular septal defect
C
Comparator
Patients with absent or mild pulmonary vascular disease compared to those with moderate or severe pulmonary vascular disease
O
Outcome
Postoperative cardiac output, blood gas levels, acid-base profile, and survivalsurrogate

Pre-existing moderate or severe pulmonary vascular disease is associated with low postoperative cardiac output and high mortality following surgical closure of ventricular septal defect.

Cite This Study

Theye et al. (1963) conducted an observational in Ventricular septal defect (n=16). Moderate or severe pulmonary vascular disease vs. Absent or mild pulmonary vascular disease was evaluated on Cardiac output and survival. Following surgical closure of ventricular septal defect, pre-existing moderate or severe pulmonary vascular disease was associated with abnormally low cardiac output and high mortality (5 of 8 died).

synapsesocial.com/papers/6aa029ba645fa8fa55ef7ae2https://doi.org/10.1161/01.cir.27.4.530

Topics

Congenital heart disease adults
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Also Consider

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  1. 1The Influence of the Ventriculotomy Site on the Contraction and Function of the Right Ventricle1961 · 50 citations
  2. 2POSTOPERATIVE CARE AFTER WHOLE-BODY PERFUSION AND OPEN INTRACARDIAC OPERATIONS1960 · 28 citations
  3. 3Halothane in open cardiac operations1960 · 15 citations
  4. 4Physiologic Studies Following Surgical Correction of Atrial Septal Defect and Similar Lesions1962 · 20 citations