Two Cases of Ventricular Septal Defect with Severe Pulmonary Hypertension Treated with “Treat and Repair”

DOI
  • Nishizaki Akiko
    Department of Cardiovascular Medicine, Kyushu University Hospital
  • Ishikita Ayako
    Department of Cardiovascular Medicine, Kyushu University Hospital
  • Kakino Takamori
    Department of Cardiovascular Medicine, Kyushu University Hospital
  • Nagata Hazumu
    Department of Pediatrics, Kyushu University Hospital
  • Yamamura Kenichiro
    Department of Pediatrics, Kyushu University Hospital
  • Sakamoto Ichiro
    Department of Cardiovascular Medicine, Kyushu University Hospital
  • Oda Shinichiro
    Department of Cardiovascular Surgery, Kyushu University Hospital Department of Cardiovascular and Pediatric Cardiovascular Surgery, Kyoto Prefectural University of Medicine
  • Tatewaki Hideki
    Department of Cardiovascular Surgery, Kyushu University Hospital Department of Cardiovascular Surgery, Miyagi Children’s Hospital
  • Shiose Akira
    Department of Cardiovascular Surgery, Kyushu University Hospital

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Other Title
  • 重症肺高血圧を伴う心室中隔欠損症に対して“treat and repair”で治療し得た2症例

Description

Most ventricular septal defects (VSDs) are diagnosed in childhood and are often closed spontaneously or operated on by the time they reach adulthood, and surgery is rarely indicated in adulthood. VSDs in adulthood may be small VSDs with a small shunt volume or VSDs already diagnosed with pulmonary hypertension and not indicated for surgery. In particular, there are cases of VSD with severe pulmonary hypertension diagnosed as Eisenmenger’s syndrome and followed up with only conservative treatment. However, with recent advances in pulmonary hypertension medications, it has been reported that “treat and repair”, in which VSD with severe pulmonary hypertension is treated with pulmonary hypertension medications followed by surgical treatment, can be effective. In this report, we describe two cases of VSD with severe pulmonary hypertension that were successfully treated surgically by “treat and repair”.

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