Document Detail


Frequency and operative correction of aortic insufficiency associated with ventricular septal defect.
MedLine Citation:
PMID:  8166556     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Frequency and surgical results of aortic cusp prolapse and aortic regurgitation (AR) associated with ventricular septal defect (VSD) were studied. One hundred thirty-six consecutive patients with type I and II VSD according to Kirklin and associates' classification were divided into two groups; group A included 50 patients with type Ia VSD without the conal muscular rim, and group B included 86 patients with type Ib VSD with the conal muscular rim, or with type II VSD. Aortic cusp prolapse was detected in 74% of group A patients and 29% of group B patients. The aortic cusp prolapse correlated negatively with preoperative left-to-right shunt ratio, mean pulmonary artery pressure, and pulmonary-to-systemic pressure ratio in both groups. In group B patients, the smaller the VSD, the higher the frequency of aortic cusp prolapse, especially when less than 4 mm. Aortic regurgitation was observed in 44% of group A patients and 24% of group B patients. All 20 patients with first grade AR underwent VSD closure, 11 with second or third grade AR underwent VSD closure plus valvuloplasty, and 1 with third grade AR underwent aortic valve replacement. Postoperative persistent AR occurred in 8 out of 32 patients, and correlated positively (p < 0.01) with the preoperative grade of AR and the number of plication stitches in both groups.
Authors:
S Ishikawa; Y Morishita; Y Sato; I Yoshida; A Otaki; Y Otani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  57     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-05-24     Completed Date:  1994-05-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  996-8     Citation Subset:  AIM; IM    
Affiliation:
Second Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aortic Valve
Aortic Valve Insufficiency / complications,  epidemiology*,  physiopathology,  surgery*
Causality
Child
Child, Preschool
Female
Follow-Up Studies
Heart Septal Defects, Ventricular / complications*,  physiopathology,  surgery*
Heart Valve Prosthesis*
Hemodynamics*
Humans
Incidence
Infant
Male
Severity of Illness Index
Suture Techniques
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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