Spontaneous closure of small apical muscular ventricular septal defects

Between 1993 and 2002, apical muscular ventricular septal defects were identified in 99 cases by echocardiographic examination. Spontaneous closure time was analyzed in 42 cases followed up at least two years, retrospectively. The ages of 42 cases ranged between 1 day and 13 years old. Initia...

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Main Authors: Semra Atalay, Ercan Tutar, Filiz Ekici, Nazire Naçar
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2005-07-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2722
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author Semra Atalay
Ercan Tutar
Filiz Ekici
Nazire Naçar
author_facet Semra Atalay
Ercan Tutar
Filiz Ekici
Nazire Naçar
author_sort Semra Atalay
collection DOAJ
description Between 1993 and 2002, apical muscular ventricular septal defects were identified in 99 cases by echocardiographic examination. Spontaneous closure time was analyzed in 42 cases followed up at least two years, retrospectively. The ages of 42 cases ranged between 1 day and 13 years old. Initial examination was performed in 22 cases within the newborn period, in 8 cases between 1 and 6 months of age and in 12 cases at more than 6 months of age. Spontaneous closure was seen in 24 of 42 cases (57.1%) between 1 and 36 months of age, and it was most commonly recorded during the first 6 months. It was remarkable that spontaneous closure occurred in 20 of 22 cases (90%) diagnosed in the neonatal period. Closure was seen in 4 of 8 cases (50%) whose initial examination was performed between 1 and 6 months and in none of the patients diagnosed at more than 6 months of age. In conclusion, the frequency of spontaneous closure in cases diagnosed in the neonatal period is higher than previously believed. It is advisable to follow up patients to determine spontaneous closure, especially within the first two years of life.
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publisher Hacettepe University Institute of Child Health
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spelling doaj-art-9821ecaf20884eeaa8a71a19d1cba29c2025-08-20T02:01:50ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212005-07-01473Spontaneous closure of small apical muscular ventricular septal defectsSemra Atalay0Ercan TutarFiliz EkiciNazire NaçarDepartment of Pediatric Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey. Between 1993 and 2002, apical muscular ventricular septal defects were identified in 99 cases by echocardiographic examination. Spontaneous closure time was analyzed in 42 cases followed up at least two years, retrospectively. The ages of 42 cases ranged between 1 day and 13 years old. Initial examination was performed in 22 cases within the newborn period, in 8 cases between 1 and 6 months of age and in 12 cases at more than 6 months of age. Spontaneous closure was seen in 24 of 42 cases (57.1%) between 1 and 36 months of age, and it was most commonly recorded during the first 6 months. It was remarkable that spontaneous closure occurred in 20 of 22 cases (90%) diagnosed in the neonatal period. Closure was seen in 4 of 8 cases (50%) whose initial examination was performed between 1 and 6 months and in none of the patients diagnosed at more than 6 months of age. In conclusion, the frequency of spontaneous closure in cases diagnosed in the neonatal period is higher than previously believed. It is advisable to follow up patients to determine spontaneous closure, especially within the first two years of life. https://turkjpediatr.org/article/view/2722
spellingShingle Semra Atalay
Ercan Tutar
Filiz Ekici
Nazire Naçar
Spontaneous closure of small apical muscular ventricular septal defects
The Turkish Journal of Pediatrics
title Spontaneous closure of small apical muscular ventricular septal defects
title_full Spontaneous closure of small apical muscular ventricular septal defects
title_fullStr Spontaneous closure of small apical muscular ventricular septal defects
title_full_unstemmed Spontaneous closure of small apical muscular ventricular septal defects
title_short Spontaneous closure of small apical muscular ventricular septal defects
title_sort spontaneous closure of small apical muscular ventricular septal defects
url https://turkjpediatr.org/article/view/2722
work_keys_str_mv AT semraatalay spontaneousclosureofsmallapicalmuscularventricularseptaldefects
AT ercantutar spontaneousclosureofsmallapicalmuscularventricularseptaldefects
AT filizekici spontaneousclosureofsmallapicalmuscularventricularseptaldefects
AT nazirenacar spontaneousclosureofsmallapicalmuscularventricularseptaldefects