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.
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... Show MoreThe right to obtain information from the most sacred of rights and the most important and Olney represents spiritual humans importance, and building on it has the researcher spoke through Take the study for the content of this right and organization at the international and local level, as it meant the international conventions long ago this right and arranged for him sufficient guarantees rests countries in places much like Universal declaration of Human rights, but that this right has been many difficulties in the Jordanian legislation initially that the case came to what it is now, when the Jordanian legislator responded recently to popular demands and issued a guarantee the right of access to information law No. ( 47) for the year (2
... Show Moreاكتشافات النص الروائي واهميته في المعالجة والاخراج
Non-Muslim scholars, who are Jews, Christians, Sabians and Magi, excelled in various pure scientific and human sciences, being the owners of civilizational inheritances. On the rest of the sciences in which non-Muslims excelled, namely mathematics, chemistry, astronomy, astrology, philosophy, history, and the Arabic language.
ماهية الازمة الدولية : دراسة في الاطار النظري
الآت الاطفال الموسيقية الشعبية والتقليدية في التربية
تشكل الأخطار منذ القدم عائقا مهما أمام تقدم البشرية وتطورها وقد واجه الانسان منذ ان وجد على الكرة الارضية اخطارا مختلفة فالمخاطر الطبيعية كانت ولا زالت تهدد حياته وممتلكاته ، وقد كان ايضا لتقدم العلوم والتكنولوجيا ان تنوعت وازدادت المخاطر التي تواجه هذا الانسان فهو اليوم يعاني من اخطار الطاقة النووية وسقوط المركبات الفضائية والتلوث البيئي والاحتباس الحراري واخطار لم يسمع بها سابقا .
وقد كان الانسان د
... Show MoreMarkets had organized in Islamic cities since the time of the Prophet Muhammad(pbuh),
ان علاقة وسائل الإعلام بحل الصراعات وبناء السلام المجتمعي كأحد الموضوعات المهمة التي تربط بين مجالي العلاقات الدولية والدراسات الإعلامية. ويعود مصطلح صحافة السلام إلى السبعينيات من القرن العشرين حيث يقدم هذه المفهوم مدخلا جديدا للإعلاميين يمُكنهم من البحث في الأسباب البنائية والثقافية للصراع ومدى تأثيره على حياة المواطنين وتقديم المضمون الذي يعكس القواسم المشتركة بين كافة أطراف الصراع في مجتمع معين وطر
... Show Morethe source of Fiqh do not give areal picture for the efforts which have been done for economic system of the taxes But it gives a special ideas about what must be done.