Experience with Autologous Pericardial Patch Closure of Ventricular Septal Defect | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 15, Issue 1, March 2016, Pages 58-60 PDF (0 K) | ||
| Author | ||
| Jabbar Jasim AL-Tae | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Conventionally,VentricularSeptal Defects(VSDs) are repaired with synthetic patch-Dacron(polyetheylene terephthalate) or Goretex(expanded polytetraflouroethylene).Recently,we began using glutaraldehyde-treated autologous pericardial patch to repair VSDs.We review our experience. OBJECTIVE: In this study,we are evaluating the result of closure of VSD by pericardial patch instead of synthetic patch. MATERIALS AND METHOD: BetweenGanuary 2009 to April 2014,60 children had their VSDs repairewith glutaraldehyde-treated autologous percardium.There were 20 males and 40 females, aged between 2 years and 12 years with amedian age of 4 years.The diagnosis was isolated VSD in 49 patients,multiple VSD in 3:Tetralogy of Fallot(TOF) in 8 patients The chest was opened by median sternotomyincision.After establishing cardiopulmonary bypass,a strip of pericardium was harvasted from patient and fixed in 0.6% glutaraldehyde for about 25 minutes.It was then washed out with 0.9% saline solution.The defect was repaired with 4/0 suture using a continous suture technique. RESULTS: There was no hospital mortality. Postoperative echocardiogram reveald trivial leaking in 10 patients.Follow up was for 3 to 6 months(mean 2 months). No patient required reoperation for residual VSD. CONCLUSION: Glutaraldehyd-treated autologous pericardium is an exellent material for surgical patch closure of VSD.It is easily available and does not require sterilization. | ||
| Keywords | ||
| KEY WORDS; pericardialpatch; dacrone patch; Goretex patches | ||
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