HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hitchcock, J. F. Articles by Meijboom, E. J. Search for Related Content PubMed PubMed Citation Articles by Hitchcock, J. F. Articles by Meijboom, E. J.

The Annals of Thoracic Surgery, Vol 52, 70-73, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Management of ventricular septal defect with associated aortic incompetence

JF Hitchcock, WJ Suijker, E Ksiezycka, E Harinck, GJ van Mill, W Ruzyllo, F Borman and EJ Meijboom
Department of Cardiac Surgery, Wilhelmina Children's Hospital, University of Utrecht, The Netherlands.

Twenty-two patients with a ventricular septal defect and aortic incompetence underwent surgical repair. Mean age was 9.6 years (range, 9 to 15 years). Mean follow-up was 32.4 +/- 15.8 months. The ventricular septal defect was perimembranous in 19 patients and doubly committed or juxtaarterial in 3. Most showed only a small left-to-right shunt. Mean diameter was 11.9 +/- 4.8 mm. Aortic incompetence was mild in 6 patients, moderate in 4, and severe in 12. In 16 patients closure of the ventricular septal defect and aortic valvoplasty were both performed through the aortic root. There were no deaths. All patients retained normal sinus rhythm. No complete heart block was found. In 3 patients secondary aortic valve replacement was required for severe incompetence; in 1 the cause was bacterial endocarditis, in another technical failure, and in a third progressive incompetence over an 8- month period. All patients showed substantial clinical improvement, marked decrease or disappearance of the valvar incompetence, diminution of the left ventricular end-diastolic diameter, and decreased cardiothoracic ratio. We conclude that primary repair is the operation of choice for this combination of lesions. This can avoid or delay considerably valvar replacement. The left-sided approach proves safe and is our preferred technique.

This article has been cited by other articles:

				Y.-f. Cheung, C. S.W. Chiu, T.-c. Yung, and A. K.T. Chau Impact of preoperative aortic cusp prolapse on long-term outcome after surgical closure of subarterial ventricular septal defect Ann. Thorac. Surg., February 1, 2002; 73(2): 622 - 627. [Abstract] [Full Text] [PDF]

				E. K.W. Sim, R. T. Grignani, M.-L. Wong, S. Chye Quek, J. C.L. Wong, W. C.L. Yip, and C. Neng Lee Outcome of surgical closure of doubly committed subarterial ventricular septal defect Ann. Thorac. Surg., March 1, 1999; 67(3): 736 - 738. [Abstract] [Full Text] [PDF]

				H. Komai, Y. Naito, K. Fujiwara, Y. Noguchi, Y. Nishimura, and S. Uemura Surgical Strategy for Doubly Committed Subarterial Ventricular Septal Defect With Aortic Cusp Prolapse Ann. Thorac. Surg., October 1, 1997; 64(4): 1146 - 1149. [Abstract] [Full Text]