Gómez R, Sánchez P A, Martínez R, León J P, Arteaga M, Villagrá F, Verduras M J, Checa S L, Brito J M
Jpn Heart J. 1983 Sep;24(5):699-710. doi: 10.1536/ihj.24.699.
The optimal surgical management of ventricular septal defects (SVD) in infancy and particularly in small babies, still remains controversial. Seventy-six infants with VSD as the major cardiac lesion were operated upon from March 1978 to December 1981. Forty-three underwent primary repair with a 9.3% mortality rate. Pulmonary artery banding (PAB) was performed in 33 infants without mortality. Sixteen of them had subsequent debanding and VSD closure, also without mortality. Based on our own experience, our current recommendations are as follows: PAB in severely ill infants under 3 months of age, in infants with multiple or "Swiss-cheese type VSD" and in some cases of VSD with associated anomalies. Early debanding and correction, except in cases with multiple VSDs. Primary repair in infants aged more than 3 months and in some selected younger cases, according to the anatomical location of the defect.
婴儿期尤其是小婴儿室间隔缺损（VSD）的最佳手术治疗方法仍存在争议。1978年3月至1981年12月，对76例以VSD为主要心脏病变的婴儿进行了手术。43例接受了一期修复，死亡率为9.3%。33例婴儿接受了肺动脉环扎术（PAB），无一例死亡。其中16例随后进行了解扎和VSD闭合术，也无死亡病例。根据我们自己的经验，我们目前的建议如下：对3个月以下的重症婴儿、患有多发或“瑞士奶酪型VSD”的婴儿以及某些伴有相关异常的VSD病例进行PAB。除多发VSD病例外，尽早进行解扎和矫正。根据缺损的解剖位置，对3个月以上的婴儿以及一些选定的较小病例进行一期修复。
