Background: Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. Isolated VSDs represent about 20-30% of all congenital cardiac malformations and have a prevalence of 1- 2 % per 1,000 live births.
Objective: This study is planned to review the outcome of surgical closure of VSD at Ibn Al-Nafees Teaching Hospital (Department Cardiac Surgery) Baghdad/Iraq.
Patients and methods: This study includes 50 cases of VSD both isolated and VSD associated with other congenital malformations admitted and underwent surgical repair of age range between 3 to 28 years and weight range between 9 to 80 kg. Different type of VSD, were found and repaired whether isolated or with other associated congenital anomalies which dealt with at the same time.
Results: The following VSD types were found: 40 peri- membranous 80%, 3 outlet 6%, 5 inlet 10% and 2 muscular 4%. Additional surgery were 3 pulmonary valvotomy 6%, 3 right ventricular outflow patch 6%, 7 closure of atrial septal defect 14%, 2 excision of subaortic ridge 4% and 2 aortic valve replacement 4%. One patient required reoperation for bleeding. Four patients had complete heart block that required temporary pacemaker. Over all operative mortality were two cases (4%), median postoperative hospital length stay was 7 days (range 5-18 days).
Conclusions: Surgical closure of VSD is a safe and effective therapy in isolated VSD or VSD with other malformations and reoperation is minimal. Other cardiac malformations can be repaired at the same time with the closure of VSD with good results and very minimal complications.
When writing about the Emirate of Hajj in the Arab Islamic State, one must stop at the time period of Caliph Al-Mansour
المنظومة الصورية والتعبير اللغوي في العرض المسرحي
The development of Japanese society passed through long historical stages and as a result of the bitter experience of Japan in the Second World War and its exhaustion, it was able to build a modern modern state after 1945. Japan is a country of culture, civilization, science and technology, a country that appreciates the value of solidarity work. And the role of active civil society. This is what makes us in Iraq stand and draw their experience in the advancement and development, especially that they also passed bitter political stages, Iraq today passes through the most historical periods of forestry through its historical heritage in terms of the existence of complex social problems, the US occupation of Iraq in 2003 highlighte
... Show MoreThis paper deals with studying of one of the shrine that buried in Khizran
that had considered one of the ancient cemetery in Baghdad ,it is
Mohammad Basha
The city of Baghdad has witnessed multiple stages in its
growth and development, and this is reflected in its intellectual
space, which responds to urban, economic, social and political
changes, which was reflected in its fabric and land uses. Baghdad
was characterized by the spontaneous weaving and hierarchy of
streets and alleys, s
Archaeological waste in the field of irrigation and watering methods, with its agricultural experience and skills, is one of the most significant achievements of the ancients, and perhaps our study area, the province of Aurès, which is located east of Algeria, bears witness to these achievements in the light of geological, geographic and topographic data. Although the inhabitants of this territory have used many techniques for the various civilizations
تنتاب العلاقةَ الأمريكية الإيرانية تجاذباتٌ ومشاحنات أدخلت العالم في حالة من الغموض السياسي، وجعلت بعض المراقبين والمحللين السياسيين لا يستبعدون توجيه الولايات المتحدة الأمريكية أو إسرائيل ضربة عسكرية لإيران، إذ يرى المدقق في واقع تلك العلاقة المضطربة: أن الأمور كلما بلغت حافة الهاوية عادت من جديد إلى ساحة الحوار والمفاوضات، ويبدو: أن الإستراتيجية الأمريكية التي يتبعها الرئيس (باراك أو
... Show Moreادى انتشار الاسلام وانتعاش الاوضاع الى تطور السياحة البحرية
استخدام خامات محلية في صناعة البوادق الحرارية
هذه محاولة لاستقصاء فكرة الجوار في القانون الدولي، والمبدأ الذي يتردد ذكره بمناسبتها هو مبدا حسن الجوار.
تعتمد المحاولة - على خلاف ما جرت عليه العادة الى حد ما - على قراءات متنوعة في وثائق الدول والمنظمات الدولية، للتعرف على الاستخدامات الاصطلاحية لتعبير الجوار فيما ترتبط به من موضوعات على المستوى الدولي، فبدلا من أن نبحث عن نتائج بحوث سابقة في معنى الجوار ومفهوم حسن الجوار، فاننا قد عمدنا مباشرة الى عم
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