Abstracto

Representation of ventricular septal and its defects of intact ventricular septum and arteries.

Jean Karam

Fourteen youngsters 18 hours to 32 days old with interpretation of the extraordinary supply routes (TGA) and practically unblemished ventricular septum (IVS) went through blood vessel switch tasks under profound hypothermic circulatory capture. Preoperative left ventricular to right ventricular pinnacle systolic strain proportions went from 0.7 to 1.0 (mean, 0.92), and the echocardiogram showed a midway situated ventricular septum in 10 patients and a rightward dislodged ventricular septum in 4. One patient passed on twelve hours after activity. Postoperative confusions included draining from the left coronary course pneumonic conduit anastomosis (1 patient), stenosis of the aspiratory supply route aorta anastomosis requiring reoperation (2 patients), transient ST portion and T wave anomalies steady with ischemia, and improvement of neurotic Q waves reminiscent of clinically quiet localized necrosis. The limit of the passed on ventricle in a child to successfully assume control over the foundational flow was obviously illustrated. A more drawn out follow-up period is expected to evaluate late ventricular capacity, coronary ostial development, development of the aorta-aspiratory course anastomosis, late aortic valve (physical pneumonic valve) work before conclusive proposals about the prevalence of the blood vessel switch activity in youngsters with TGA in addition to IVS can be planned.