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KMID : 0364019930260110821
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 11 p.821 ~ p.826
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Surgical Treatment fo rVentricular Septal Defect Assciated with Aortic Insuffciency
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Abstract
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Between January 1983 and December 1992, we had experienced 79 patients of ventricular septal defect(VSD) associated with aortic insufficiency(AI) which constitute 4.6% of total numbers of VSD. The mean age of the patients was 10.2 years with a
range of
1 to 35 years and the average degree of aortic insufficiency classified by Sellers was 2.1 The type of VSD was subpulmonic in 57 patients and perimembranous in 22. Most common pathologic finding causing AI was prolapse of right coronary cusp(54
cases;
71.4%), followed by prolapse of both right and non-coronary cusp(12 cases; 7.9%). VSD closure alone was performed in 51 patients and their mean age was 7.7 years(ranged 1 to 13 years). VSD closure and aortic valve reconstruction was performed in
22
patients, VSD closure and aortic valve replacement in 6 patients, and the mean age of the patients was 14.5 years(ranged 2 to 28years), 20.4 years(ranged 18 to 35 years) respectively. There was no hospital mortality. All patients were followed up
form 1
month to 9 year 4 months(average; 21.4 months) and there was one late death.
Our data suggests that, early closure of VSD without any manipulation on the valve may be sufficient procedure to improve or at least withhold progression of AI in children with VSD associated mild AI and furthermore patients with VSD associated
AI
should be corrected promptly after diagnosis regardless of their age. (Korean J Thoracic Cardiovas Surg 1993;26:821-6)
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