Evolution des communications interventriculaires non operees

ABSTRACT

Three hundred three [303] cases about interventricular communications [IVC] confirmed by hemodynamic and/or angiographic exploration were studied. The age of discovering the cardiopathy is between 1 month and 69 years with an average of 4 years. Among 176 non-operated patients, 92 were followed, 44 among them kept a stationary state, 25 have a tendency to inter-ventricular communication closure and only 7 cases of complete closure were diserved. The evolution was favorable in 16 cases among which 9 deaths [9,7%]; this mortality is more often secondary to a cardiac failure [8 cases] in young nurselings [5 cases out of 9]. Out the surgical treatment, the spontaneous closure was more observed in the l.V.C. type 1[13,8%] than in the I.V.C. type II [4,7%]