Chen Renwei,Luo Jinwen,Huang peng,et al. Effect of surgical intervention on complete atrioventricular block after interventional treatment of membranous ventricular septal defect.[J].Journal of Clinical Pediatric Surgery,,17():927-930.
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 Effect of surgical intervention on complete atrioventricular block after interventional treatment of membranous ventricular septal defect.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 12 Page: 927-930 Column: 论著 Date of publication: 2018-12-18
Author(s):
Chen Renwei; Luo Jinwen; Huang peng; Deng Xicheng.
 Department of Cardiothoracic Surgery,Hunan Childrens Hospital,Changsha 410007,China.
Keywords:
 ; Heart Septal Defects;  Ventricular;  Interventional Therapy;  Completely arioventricular Block;  Surgical Procedures;  Operative;  Intervention
Document code:
A
Abstract:
 ObjectiveTo explore the effect of surgical removal of occluder on early occurrence of complete atrioventricular block (CAVB) after perimenbranous ventricular septal defect (pmVSD) interventional therapy and optimize the operative timing of CAVB after pmVSD interventional therapy.MethodsFrom October 2006 to August 2016,intervention therapy was performed.After interventional treatment,CAVB occurred in 14 cases and 6 cases had an early removal of occluder.Surgical procedures included cardiopulmonary bypass,removal of occluder,repair of ventricular septal defect (VSD) and correction of deformity.ResultsAmong 6 CAVB cases,4 underwent assisted incision for septal tricuspid valve;intermittent suturing by gasket (n=1) and continuous suturing by autologous pericardial patch (n=5).Two cases underwent simultaneous closure of foramen ovale.The mean postoperative recovery time of sinus rhythm time was 25.4(1-41) hours.Two cases had temporary cardiac pacing due to early bradycardia.The mean followup period was 26.3(1-6) years.There was no occurrence of death,residual shunt of VSD or obvious reflux in aortic and tricuspid valves.Both cardiac rhythm and function were normal.ConclusionPostoperation CAVB should be highly valued after pmVSD interventional treatment,and timely surgical treatment is beneficial to the recovery of CAVB.
Last Update: 2018-12-19