Ventricular septal defect associated with aortic regurgitation. Results and surgical considerations in pediatric age group
Di Benedetto, G.; Alfieri, O.; Locatelli, G.; Ferrazzi, P.; Villani, M.; Parenzan, L.
Giornale Italiano di Cardiologia 9(12): 1386-1392
1979
ISSN/ISBN: 0046-5968 PMID: 549787 Document Number: 142362
The Authors report their experience on the surgical treatment of ventricular septal defect and aortic regurgitation. Out of 13 patients operated upon, four required aortic valve replacement; five patients were treated with plasty of the aortic leaflets and four with the only patch closure of the V.S.D. There have not been reported hospital or late deaths. In one case, after the aortic plasty, the aortic regurgitation became severe; this patient had shown clinical signs of aortic regurgitation for more than five years before the operation. The Authors emphasize the surgical aggressiveness in this lesion when the aortic regurgitation has recently showed, whereas it is preferable to delay the operation when the aortic regurgitation has been present for more than five years.