Pediatrician, Arbaminch University, School of Medicine, Department of Pediatrics, Arbaminch, Ethiopia.
Pediatrcs Cardiology fellow, Hawassa university, School of medicine, Department of Pediatrics, Hawassa, Ethiopia.
Ethiop J Health Sci. 2023 Mar;33(2):387-389. doi: 10.4314/ejhs.v33i2.25.
In child, ventricular septal defect is the most prevalent congenital cardiac disease. Some ventricular septal defects have the potential for spontaneous closure. In poor nations closure based on indications may not be feasible. The patient's natural course may therefore be observed. The Gasul phenomenon, a right ventricular outflow obstruction, is one of the complications.
A 7-year-old child who had recurrent pneumonia, poor weight gain, and excessive sweating eventually had these symptoms go away. A large peri membranous ventricular septal defect and a small patent ductus arteriosus was detected on echocardiography during infancy. Later, the patient acquired a muscular ridge across the right ventricular outflow tract. Muscular ridge excision and closure of patent ductus arteriosus and ventricular septal defect were done. Patient was discharged in stable condition.
Right ventricular outflow tract blockage can be avoided by performing early surgical closure of a ventricular septal defect.
在儿童中，室间隔缺损是最常见的先天性心脏病。一些室间隔缺损有自发闭合的潜力。在贫穷国家，根据适应证进行闭合可能不可行。因此，可以观察患者的自然病程。肺动脉瓣下狭窄（Gasul 现象）是一种右心室流出道梗阻并发症。
一名 7 岁儿童反复肺炎、体重增长不良和过度出汗，最终这些症状消失了。婴儿期超声心动图显示膜周室间隔缺损较大，动脉导管未闭较小。后来，患者右心室流出道出现肌肉嵴。进行了肌肉嵴切除术以及动脉导管未闭和室间隔缺损的闭合。患者稳定出院。
通过早期手术闭合室间隔缺损，可以避免右心室流出道阻塞。
