Treatment of ventricular septal defect?

summary

Ventricular septal defect is mostly congenital. My baby is 2 years old this year. I went to the hospital to find out that she has ventricular septal defect. If she is sick, she can't delay. I heard the doctor say that she would have surgery, but she is still so young that she would suffer. But after the doctor's introduction, I compromised. After the operation, the baby recovered quickly, just like a normal baby. Now let's share with you.

Treatment of ventricular septal defect?

First, if the defect is very small, asymptomatic, atrioventricular enlargement, can be observed. The patients with small defect, less shunt, more pulmonary blood and enlargement of atrioventricular space should be operated at about 2 years old or before school age. Kwai should be operated as soon as possible with large defects, multiple flow and pulmonary hypertension.

Second: postnatal intractable heart failure and pulmonary insufficiency, after active drug treatment, surgery within 1 ~ 3 months. Pulmonary subvalvular defect is easy to be complicated with aortic valve prolapse and aortic regurgitation. The patients with high pulmonary artery pressure, right to left shunt in the heart and cyanosis in clinic can not be operated.

Third: the basic method of operation is to intubate the trachea under general anesthesia, enter the chest through the fourth intercostal incision in the middle or right front of the chest to establish cardiopulmonary bypass, and complete the repair of ventricular septal defect under cardiac arrest or beating. Non ventricular approach was used to repair ventricular septal defect through cardiac incision to protect ventricular function. Pulmonary artery incision was used to repair subvalvular and partial cristae defects; Right atrial incision was used to repair perimembranous, retroseptal and partial muscular defects.

matters needing attention

For patients with obvious pulmonary hypertension before operation, the respirator should be used continuously until the next morning after operation. If the respirator can not be removed 48 hours after operation, tracheotomy should be performed instead of endotracheal intubation.