Aortic Valve Prolapse Associated With Outlet-Type Ventricular Septal Defect

Chiu, Shuenn–Nan; Wang, Jou‐Kou; Lin, Min; Wu, En‐Ting; Lu, Frank Leigh; Chang, Chung-I; Chen, Yih‐Sharng; Chiu, Ing-Sh; Lue, Hung-Chi; Wu, Mei‐Hwan

doi:10.1016/j.athoracsur.2004.10.012

Cited by 35 publications

(20 citation statements)

References 19 publications

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“…Moreover, in patients with juxtaarterial defects, the incidence was approximately two times higher when compared to other defect types [1]. According to previous studies, the incidence of AVP associated with ventricular septal defects was between 7.5% and 52.7%.…”

Section: Discussionmentioning

confidence: 96%

“…According to previous studies, the incidence of AVP associated with ventricular septal defects was between 7.5% and 52.7%. AR was found in 4.8% to 14% of patients with AVP [1,5].…”

Section: Discussionmentioning

confidence: 99%

“…Progression to mild to moderate AR necessitates surgical intervention even in normally growing children without heart failure symptoms. Later in childhood (between 5 and 10 years of age), the ongoing shunt of blood across the ventricles causes further prolapse of the affected cusps and prevents their apposition during diastole, resulting in moderate to severe AR [1,2].…”

Section: Streszczeniementioning

confidence: 99%

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In situ patch closure of ventricular septal defect with aortic regurgitation

Büyükbayrak¹,

Aksoy²,

Taş³

et al. 2013

kitp

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Aortic valve prolapse (AVP) in patients with a ventricular septal defect (VSD) is known to be caused by high gradient flow through the defect. In adult patients, VSD may lead to AVP and subsequent aortic regurgitation (AR). Although aortic valvuloplasty and the concurrent closure of the defect is the therapy of choice for children, it carries a high risk of reoperation in adults. We present a case of a 20-year-old male with perimembranous outlet type VSD and severe AR. During the operation, the non-coronary cusp was inverted towards the defect and used as an in situ patch. The severely deformed coronary cusps were excised and the aortic valve was replaced.

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Section: Discussionmentioning

confidence: 96%

“…According to previous studies, the incidence of AVP associated with ventricular septal defects was between 7.5% and 52.7%. AR was found in 4.8% to 14% of patients with AVP [1,5].…”

Section: Discussionmentioning

confidence: 99%

Section: Streszczeniementioning

confidence: 99%

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In situ patch closure of ventricular septal defect with aortic regurgitation

Büyükbayrak¹,

Aksoy²,

Taş³

et al. 2013

kitp

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“…The peak age for aortic valve prolapse was around 7 years and that for aortic regurgitation was between 5 to 10 years. 5 Lun et al observed that aortic cusp deformities and AR does not develop in sub-arterial type of ventricular septal defects measuring <5 mm in diameter. 3 In defects larger than 5 mm, occurrence of the above mentioned complications can be prevented by doing early surgical closure which is supported by other authors also.…”

Section: Discussionmentioning

confidence: 99%

Doubly committed subarterial ventricular septal defect with prolapsed right coronary cusp with moderate aortic regurgitation

Ranjan

Adhikary

Chowdhury

et al. 2017

Bangabandhu Sheikh Mujib Medical University Journal

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<p>A 4 year old girl was presented with the respiratory tract infection, breathlessness after taking meal, failure to thrive, abnormal movement of the chest on left side overlying the area of heart and systolic murmur. She developed these symptoms gradually for the last 3.5 years. Echocardiography revealed doubly committed subarterial ventricular septal defect with moderate aortic regurgitation. The size of the ventricular septal defect was 7 x 9 mm at the left ventricular outflow tract. The right coronary cusp of the aortic valve was prolapsed. Left atrium and left ventricle were dilated. The pulmonary artery systolic pressure was 35 mm Hg. The ventricular septal defect was closed with the standard surgical procedure using cardiopulmonary bypass followed by aortotomy and right atriotomy. Immediate post-operative period of this case was uneventful and the patient was discharged on 9<sup>th</sup> post-operative day. Follow-up echocardiography showed no residual ventricular septal defect or aortic regurgitation and the ventricular function was good.</p>

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“…This complication is most often reported with perimembranous ventricular septal defects and can first appear after either spontaneous or surgical closure. 12 Infective endocarditis is rare in children younger than 2 years. 6 …”

Section: Introductionmentioning

confidence: 99%

Small Ventricular Septal Defect Considered Not Requiring Surgical Closure: The Frequency of Developing Complications in Our Center

Hyder¹,

Kazmi²,

Kazmi³

2016

Heart Res Open J

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Objectives:The study was conducted to check the frequency of development of complication in the patients with small Ventricular Septal Defects (VSDs) considered not requiring surgical closure during childhood. Methods: A descriptive study was conducted on children from January 2015 to December 2015 at Children Hospital and Institute of Child Health, Lahore, Pakistan. The data with isolated VSDs considered too small to require surgery from 1 month to 15 years of age were reviewed. The data was analyzed with SPSS 20 version. Results: The total of 883 patients of restrictive VSDs considered not to require surgery, 60.6% (n=535) were males and 39.4% (n=348) were females. The significant number of patients i.e. 18.7% (n=166) developed complications. Aortic cusp prolapsed developed in 13.6% i.e. p≤0.05, 2.3% developed aortic regurgitation secondary to aortic cusp prolapsed. 1.8% developed right ventricular track outflow obstruction (RVOT) i.e. p≤0.05 and 0.3% of patient developed left ventricular outflow track obstruction (LVOT) i.e. p≤0.05. Similarly 0.8% patients developed endocarditis. Regarding types of VSD, we found Perimembranous in 65.8%, muscular in 12.6%, Subaorticin 8.3%, doubly committed in 6.0%, Inlet in 5% and outlet in 1.7% of our patients. Conclusions: Patients with small restrictive Ventricular Septal Defects (VSDs) generally been considered as do not required surgery, the data suggested that a significant percentage of these patients developed complications later in their life i.e., 18.7%.

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Aortic Valve Prolapse Associated With Outlet-Type Ventricular Septal Defect

Cited by 35 publications

References 19 publications

In situ patch closure of ventricular septal defect with aortic regurgitation

In situ patch closure of ventricular septal defect with aortic regurgitation

Doubly committed subarterial ventricular septal defect with prolapsed right coronary cusp with moderate aortic regurgitation

Small Ventricular Septal Defect Considered Not Requiring Surgical Closure: The Frequency of Developing Complications in Our Center

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