Iraqi Postgraduate Medical Journal

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.