Evolution of aortic regurgitation following simple patch closure of doublycommitted subarterial ventricular septal defect

Citation
H. Tomita et al., Evolution of aortic regurgitation following simple patch closure of doublycommitted subarterial ventricular septal defect, AM J CARD, 86(5), 2000, pp. 540-542
Citations number
19
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Journal title
AMERICAN JOURNAL OF CARDIOLOGY
ISSN journal
0002-9149 → ACNP
Volume
86
Issue
5
Year of publication
2000
Pages
540 - 542
Database
ISI
SICI code
0002-9149(20000901)86:5<540:EOARFS>2.0.ZU;2-K
Abstract
We reviewed the Doppler echocardiographic findings of the aortic valve and associated aortic regurgitation (AR) in 55 patients who underwent patch clo sure of doubly committed subarterial ventricular septal defect (VSD). The m aximal diameter of the VSD measured greater than or equal to 5 mm, whereas the postoperative follow-up interval was greater than or equal to 5 years. Twenty-three patients underwent closure before they developed aortic cusp p rolapse or AR (group A). In 15 patients the VSD was closed when aortic cusp prolapse was recognized, but AR was absent (group B), Aortic cusp prolapse with AR was detected before closore in a further 15 patients (group C). Of 8 patients with no AR before closure, AR was detected during follow-up in 6 group A and in 2 group B patients. In group C, AR resolved after surgery in 4 patients, whereas AR grade improved in a further 8 patients and remain ed unchanged in 3. Although residual AR was more frequent in patients with aortic cusp prolapse and AR before closure, it was silent and asymptomatic. (C) 2000 by Excerpta Medica, Inc.