The natural history of ventricular septal defects in the south-western region of Saudi Arabia
Author: Abbag, Fuad1
Source: Annals of Tropical Paediatrics: International Child Health, Volume 26, Number 3, September 2006 , pp. 215-218(4)
Publisher: Maney Publishing
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Abstract:
Aim: To determine the natural history and spontaneous closure (SpC) of ventricular septal defect (VSD) in a cohort of patients.Methods: Using echocardiography, 86 patients with VSD were followed up for 1-168 mths (mean 66.3, SD 46.0).Results: Mean age at diagnosis was 14 mths, 26 patients were diagnosed at ≤ 1 mth (group 1) and 60 later (group 2). Types of VSD were: peri-membranous (PM-VSD) 67.4%, muscular (MU-VSD) 19.8%, inlet 7% and subpulmonary/subarterial 5.8%. SpC occurred in 16.3% of the whole group, 34.6% of group 1 and 8.3% of group 2 (p=0.002). SpC occurred only in PM-VSDs (19%) and in MU-VSDs (17.6%). It occurred in 26.5% of the small VSDs and in none of the large VSDs. One patient (1.2%) developed endocarditis and another pulmonary vascular disease.Conclusions: PM-VSD was the most common type of VSD. SpC is age-dependent, occurring mainly in PM and MU-VSDs. SpC of a large VSD is unusual.Document Type: Research article
DOI: 10.1179/146532806X120309
Affiliations: 1: Department of Child Health, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia
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