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The Annals of Thoracic Surgery, Vol 41, 489-491, Copyright © 1986 by The Society of Thoracic Surgeons
Y Ohkita, S Miki, K Kusuhara, Y Ueda, T Tahata, M Komeda and T Tamura
Five patients underwent reoperations because residual or recurrent aortic
regurgitation occurred after aortic valvuloplasty for aortic regurgitation
associated with ventricular septal defect. The mean age at reoperation was
22 years old, and the mean time interval between initial and second
operation was 6 years, 10 months. The pathological findings of the aortic
valves showed tears and perforation of repaired leaflets in four patients
and a giant pseudoaneurysm of the Valsalva sinus in one. Aortic
valvuloplasties were performed again in three patients, and aortic valves
were replaced with prosthetic valves in two. Slight to moderate regurgitant
murmurs are still audible in patients who underwent these valvuloplasties.
Ventricular septal defects should be closed before aortic regurgitation
develops. If it has developed, however, valvuloplasty should be considered
as a first choice in young patients. For adult patients, aortic valve
replacement is recommended.
ARTICLES
Reoperation after aortic valvuloplasty for aortic regurgitation associated with ventricular septal defect
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