@article{article_391492, title={Comparison of Material Results of Autologous Pericardial and Synthetic Patches Used For Surgical Treatment of Congenital VDS’s}, journal={Journal of Uludağ University Medical Faculty}, volume={35}, pages={123–126}, year={2009}, author={Helvaci, Hülüsi and Sığnak, İşık Şenkaya and Bostan, Özlem and Melek, Hamide}, keywords={konjenital, ventriküler septal defekt, perikart, cerrahi}, abstract={The aim of the study was to compare the results of pericardial and synthetic patches in isolated VSD cases that are operated. In the retrospective study, total of 90 patient files were examined, 40 of them being women (44.44%), and 50 being men (%55.56) who were operated. Pericardial patches were used for 32 patients (35.56%), and synthetic patches were used for 58 patients (64.44%). 25 of the cases (27.78%) were perimembranous, 16 of them (17.78%) were subarterial , 43 (47.78%) were inlet, and the last 6 (% 6.67) had a muscular type. 46 patients (51.11%) were under age 1, 37 of them (41.11%) were between ages 1-10, 6 patients (6.67%) were between ages 10-20, 1 of the patients (1.11%) was over age 20. Patients were evaluated by means of ECHO before the discharge and in the controls. Pericardial patches were used for 14 cases out of 38, for which residual VSD was determined, and synthetic patches were used for the other 24 cases, and eight of them closed spontaneously in approximately 1.8 years. Permanent pacemaker was placed in 3 cases (3.33%) in which atrioventricular blocks had developed, and perioperative 5 cases (5.56%) were lost. Statistically no significant difference was discovered between the pericardial and synthetic patches used for the confinement of VSD’s. Cost-effectiveness, availability and ease of utility may be included among the advantages of pericardial patches. Long-term results are needed.}, number={3}, publisher={Bursa Uludağ Üniversitesi}