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Primary Surgical Repair of Ventricular Septal Defect

Department of Cardiovascular Surgery, Ondokuz Mayis University Medical School, Samsun, Turkey

For reprint information contact: Hasan Tahsin Keçeligil, MD Tel: 90 362 457 6000/3222 Fax: 90 362 457 6029 email: santa{at}omu.edu.tr Ondokuz Mayis University Medical School, Department of Cardiovascular Surgery, 55139, Samsun, Turkey.

Between January 1983 and December 2000, 78 patients underwent primary repair of a ventricular septal defect. There were 42 males (54%) and 36 females (46%) of whom 13 (17%) were under 1 year old, 50 (64%) were aged 1–10 years, 11 (14%) were aged 10–20 years, and 4 (5%) were over 20 years old. The ventricular septal defect was a perimembranous type in 60 patients (77%), subarterial (outlet) type in 10 (13%), and atrioventricular canal (inlet) type in 4 (5%). Operative repair was performed with a patch in all except 2 patients. Early postoperative complications included insignificant aortic regurgitation in 4 patients, persistent complete heart block in 1, and residual shunt in 4. There were 5 early deaths (6.4%) and 1 late death (1.8%) in 56 patients followed up. Early primary closure of ventricular septal defects, usually via a right atriotomy, can be performed with acceptable mortality and morbidity rates.