Surgical techniques used for closure of perimembranous ventricular septal defects

A retrospective study was done at Red Cross Children's Hospital, Rondebosch, Cape Town in which two separate case-matched groups of children undergoing different surgical closure techniques for their isolated perimembranous ventricular septal defects were compared. Group I consisted of 77 children who had their VSDs closed between 1987 to 1990, mainly with a double velour dacron patch using interrupted alternating 5.0 silicone coated braided polyester suture ( Ticron®) and 5.0 polypropylene (Prolene®) pledgetted sutures (n=71). Five patients in Group I had bovine pericardium used and 1 patient's VSD was closed by a direct suture technique. Group II consisted of 93 children operated on between 1995 to 1998, and had their VSDs closed with a 0.6% glutaraldehyde-treated autologous pericardial patch using 5.0 polypropylene suture material in a continuous horizontal mattress suture without pledgets. Surgical time, discharge echocardiograms and follow up records were reviewed to assess the incidence of complications, reoperation or residual VSD needing further follow up.

Grantor dc:publisher.institution

Division of Cardiology

Year dc:date.issued

2002

Author dc:creator

• Karani, Zeead

Advisors dc:contributor.advisor

• Hewitson, John
• Von Oppell, Ulrich

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/11427/8781

OAI identifier oai:identifier

oai:open.uct.ac.za:11427/8781