OBJECTIVE To assess the predictive impact of morphological, haemodynamic, and clinical variables in the management of patients with isolated ventricular septal defect. DESIGN Retrospective analysis of variables by a sophisticated database management system. PATIENTS AND METHODS 263 consecutive patients with isolated ventricular septal defect diagnosed by echocardiography. The morphological ...

V ENTRICULIAR septal defect is a relatively common congenital cardiac defect. Rarely, however, is ventricular septal defect associated with major degrees of aortic valvular incompetence. When these two conditions do coexist, they are usually combined in a characteristic malformation. The purpose of this paper is to review our experience with the surgical management of this combination of defect...

curs routinely in patients after open-heart surgery for tetralogy of Fallot (TF). To determine the etiology of the RBBB pattern, 14 patients with TF, seven with ventricular septal defects (VSD), and one with pulmonary stenosis (PS) were studied during and after cardiac surgery. Bipolar electrograms from 10 selected right ventricular epicardial sites were recorded simultaneously with an ECG. Rec...

Despite current low overall perioperative mortality, ischemic complications due to coronary artery translocation remain the most unwanted early complication of the arterial switch operation. We describe the case of a boy who underwent, at five days of age, one-stage arterial switch operation for transposition of the great arteries with repair of ventricular septal defect and coarctation of the ...

Two patients who had an endocardial cushion type of ventricular septal defect underwent electrophysiologic studies for detection of specialized conduction tissue during operative repair. In one patient, with an inferior leftward frontal plane QRS axis on the ECG, we recorded an intraventricular His bundle electrogram anterior and superior to the ventricular septal defect. In the other patient, ...

Two patients who had an endocardial cushion type of ventricular septal defect underwent electrophysiologic studies for detection of specialized conduction tissue during operative repair. In one patient, with an inferior leftward frontal plane QRS axis on the ECG, we recorded an intraventricular His bundle electrogram anterior and superior to the ventricular septal defect. In the other patient, ...

5. Dushane JW, Kirklin JW: Late results of the repair of ventricular septal defect on pulmonary vascular disease. In Advances in Cardiovascular Surgery, edited by Kirklin JW: New York, Grune and Stratton, 1973, p 9 6. Jarmakani MM, Graham TP Jr, Canent RV Jr., Spach MS, Capp MP: Effect of site of shunt on left heart volume characteristics in children with ventricular septal defect and patent du...