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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1977-8-12
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pubmed:abstractText |
Fifty infants ranging in age from 13 days to 18 months (mean age 6 months) and weighing from 1.7 to 8.2 kg (mean weight 4.5 kg) underwent patch closure of a ventricular septal defect (VSD) with use of deep hypothermic circulatory arrest. Seventeen infants were under 3 months of age. The principal indication for operation was intractable chronic congestive heart failure; All infants were below the third percentile for weight preoperatively; Three patients (6%) died postoperatively within the second month of life. There was no late mortality. Seven infants (14%) had seizures; these were associated with a low output state in 2 infants, with hypoxic episodes in 4 infants, and occurred postoperatively in 1 infant. Postoperatively, 8 (17%) of the surviving infants developed right bundle-branch block and left anterior hemiblock, and 16 (32%) developed right bundle-branch block alone. One year postoperatively, catheterization studies in 24 children revealed normal pulmonary artery pressure and pulmonary vascular resistance in all; there were no significant residual ventricular septal defects. Because of these results we continue to be enthusiastic about primary closure of VSD irrespective of age or weightk0
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0003-4975
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
19-27
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:879875-Blood Pressure,
pubmed-meshheading:879875-Female,
pubmed-meshheading:879875-Heart Septal Defects, Ventricular,
pubmed-meshheading:879875-Humans,
pubmed-meshheading:879875-Hypothermia, Induced,
pubmed-meshheading:879875-Infant,
pubmed-meshheading:879875-Infant, Newborn,
pubmed-meshheading:879875-Male,
pubmed-meshheading:879875-Methods,
pubmed-meshheading:879875-Postoperative Care,
pubmed-meshheading:879875-Postoperative Complications,
pubmed-meshheading:879875-Pulmonary Artery,
pubmed-meshheading:879875-Surgical Procedures, Operative,
pubmed-meshheading:879875-Vascular Resistance
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pubmed:year |
1977
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pubmed:articleTitle |
Early and late results of closure of ventricular septal defect in infancy.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, U.S. Gov't, Non-P.H.S.
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