TY - JOUR AU - Riaz, Muhammad Usman AU - Waqar, Tariq AU - Ahmad Raza Baig, Mirza PY - 2017/08/10 Y2 - 2024/03/28 TI - COMPARISON OF POSTOPERATIVE OUTCOMES WITH AND WITHOUT TRICUSPID LEAFLET DETACHMENT IN PATIENTS UNDERGOING VENTRICULAR SEPTAL DEFECT REPAIRS JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 31 IS - 3 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/1996 SP - AB - Objective: To compare outcomes of peri-membranous ventricular septal defects<br />(VSD) closure with and without tricuspid valve detachment (TVD) in terms<br />of residual VSD's, postoperative heart blocks, tricuspid regurgitation and operative<br />time.<br />Methodology: This retrospective study was conducted in Department of Pediatric<br />Cardiac Surgery, Chaudhry Pervaiz Elahi Institute of Cardiology, Multan<br />from January 2009 to June 2015. There were 32 patients in tricuspid detachment<br />(TVD) group and 204 in non-TVD group. The study endpoints were any<br />incidence of postoperative residual VSD, heart block or tricuspid regurgitation.<br />Fischer's exact test was used to compare study endpoints.<br />Results: In TVD group 18 (56.3%) were male and in non-TVD group 141 (68.1%)<br />were male. Mean age in the TVD group was 13.38 ±6.91 years. While in non-<br />TVD group it was 11.34 ±6.06 years. Mean cross clamp time was 67.91 ±27.3<br />minutes and mean bypass time was 98.13 ±32.5 minutes in TVD group. In non-<br />TVD group mean cross clamp time was 58.63 ±24.46 minutes and bypass time<br />was 93.40 ±30.11 minutes (p values were 0.07 and 0.44 respectively). Only 1<br />(3.1%) case was noted in TVD group with moderate tricuspid regurgitation and<br />4 (2.0%) cases were noted in non-TVD group. One (3.1%) case was noted with<br />residual VSD in TVD group while 7 (3.4%) were noted in non-TVD group.<br />Conclusion: In our study difference in outcomes did not come up to a statically<br />significant difference but it showed low incidence of tricuspid regurgitation and<br />residual VSD in TVD group. ER -