Ventricular Septal Defect with Aortic Valvular Incompetence Surgical Considerations

作者: F. HENRY ELLIS , PATRICK A. ONGLEY , JOHN W. KIRKLIN

DOI: 10.1161/01.CIR.27.4.789

关键词: Suture (anatomy)SurgeryStenosisResectionCrista supraventricularisCusp (anatomy)Internal medicineAortic IncompetenceRegurgitation (circulation)MedicineCardiologyValvular incompetence

摘要: Nineteen patients with ventricular septal defect and severe aortic valvular incompetence have been operated on at the Mayo Clinic. There were two early deaths late deaths. The was located high anteriorly in septum often small. Aortic due, most cases, to a deformed, prolapsing right coronary cusp. Mild moderate degrees of infundibular pulmonary stenosis coexisted nine patients. Repair readily accomplished cases by direct suture, relief obstruction outflow effected, when required, resection crista supraventricularis. attempted variety means, but incidence persistent significant regurgitation high, except prosthetic cusp replacement used. It is currently our policy defer operation children unless there are symptoms. When patient past age about...

参考文章(5)
Joseph J. Garamella, Anatolio B. Cruz, William H. Heupel, James C. Dahl, Nathan K. Jensen, Reuben Berman, Ventricular septal defect with aortic insufficiency The American Journal of Cardiology. ,vol. 5, pp. 266- 272 ,(1960) , 10.1016/0002-9149(60)90208-3
ERNST W. O. KECK, PATRICK A. ONGLEY, OWINGS W. KINCAID, H. J. C. SWAN, Ventricular Septal Defect with Aortic Insufficiency A Clinical and Hemodynamic Study of 18 Proved Cases Circulation. ,vol. 27, pp. 203- 218 ,(1963) , 10.1161/01.CIR.27.2.203
C. Dotter, A. Starr, V. Menashe, Surgical correction of aortic insufficiency associated with ventricular septal defect. Surgery gynecology & obstetrics. ,vol. 111, pp. 71- 76 ,(1960)
George Robinson, Stanley C. Fell, Belle E. Jacobson, Ventricular septal defect with aortic insufficiency. A method of management. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 43, pp. 785- 791 ,(1962) , 10.1016/S0022-5223(19)33017-X
Frank C. Spencer, Henry T. Bahnson, Catherine A. Neill, THE TREATMENT OF AORTIC REGURGITATION ASSOCIATED WITH A VENTRICULAR SEPTAL DEFECT The Journal of Thoracic and Cardiovascular Surgery. ,vol. 43, pp. 222- 233 ,(1962) , 10.1016/S0022-5223(19)32528-0