Changing trends in surgery for ventricular septal defect in Malta

Abstract

Congenital heart defects (CHD) comprise the commonest group of malformations and ventricular septal defect (VSD) is the most prevalent type of CHD most frequently requiring corrective surgery. There has been an increase in the number of Maltese patients operated for this condition over 1930-1994 which has now stabilised. Peri-operative mortality has declined, paralleled by a significant decline in age at surgery. The birth prevalence of VSD requiring surgery is 0.83/1000 live births with a surgical rate of 0.88 operations/1000 live births including primary operations and reoperations. Approximately 122,000 children are born with this condition annually world-wide at an estimated potential surgical cost of £2,280,000,000.