Double Chamber Right Ventricle in a Patient With Supracristal Ventricular Septal Defect and Prolapsing Right Coronary Cusp: Role of Intraoperative Transesophageal Echocardiography

2009 ◽  
Vol 22 (6) ◽  
pp. 754.e3-754.e5 ◽  
Author(s):  
Shrinivas Gadhinglajkar ◽  
Rupa Sreedhar ◽  
Soman R. Krishnamanohar ◽  
Aveek Jayant ◽  
Nikhil S. Bhoomkar
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Transesophageal Echocardiography ◽  
Septal Defect ◽  
Intraoperative Transesophageal Echocardiography ◽  
Coronary Cusp ◽  
Right Coronary Cusp ◽  
Double Chamber

scholarly journals Doubly committed subarterial ventricular septal defect with prolapsed right coronary cusp with moderate aortic regurgitation

2017 ◽  
Vol 10 (4) ◽  
pp. 240
Author(s):  
Redoy Ranjan ◽  
Asit Baran Adhikary ◽  
Mohammad Rashal Chowdhury ◽  
Md. Kabiruzzaman ◽  
Md. Mushfiqur Rahman
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Regurgitation ◽  
Septal Defect ◽  
Systolic Pressure ◽  
Failure To Thrive ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Pulmonary Artery Systolic Pressure ◽  
Coronary Cusp ◽  
Right Coronary Cusp

<p>A 4 year old girl was presented with the respiratory tract infection, breathlessness after taking meal, failure to thrive, abnormal movement of the chest on left side overlying the area of heart and systolic murmur. She developed these symptoms gradually for the last 3.5 years. Echocardiography revealed doubly committed subarterial ventricular septal defect with moderate aortic regurgitation. The size of the ventricular septal defect was 7 x 9 mm at the left ventricular outflow tract. The right coronary cusp of the aortic valve was prolapsed. Left atrium and left ventricle were dilated. The pulmonary artery systolic pressure was 35 mm Hg. The ventricular septal defect was closed with the standard surgical procedure using cardiopulmonary bypass followed by aortotomy and right atriotomy. Immediate post-operative period of this case was uneventful and the patient was discharged on 9<sup>th</sup> post-operative day. Follow-up echocardiography showed no residual ventricular septal defect or aortic regurgitation and the ventricular function was good.</p>

Intraoperative Transesophageal Echocardiography of Ventricular Septal Defect

1991 ◽  
Vol 8 (6) ◽  
pp. 687-697 ◽  
Author(s):  
DAVID A. ROBERSON ◽  
ISOBEL A. MUHIUDEEN ◽  
MICHAEL K. CAHALAN ◽  
NORMAN H. SILVERMAN ◽  
GARY HAAS ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Transesophageal Echocardiography ◽  
Septal Defect ◽  
Intraoperative Transesophageal Echocardiography

scholarly journals Severity Indices of Right Coronary Cusp Prolapse and Aortic Regurgitation Complicating Ventricular Septal Defect in the Outlet Septum

2004 ◽  
Vol 68 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Hideshi Tomita ◽  
Yoshio Arakaki ◽  
Yasuo Ono ◽  
Osamu Yamada ◽  
Toshikatsu Yagihara ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Regurgitation ◽  
Septal Defect ◽  
Coronary Cusp ◽  
Right Coronary Cusp

scholarly journals Right Coronary Cusp Prolapse Resembling Subpulmonic Stenosis in an Old Adult Patient with Ventricular Septal Defect

2011 ◽  
Vol 19 (4) ◽  
pp. 216 ◽  
Author(s):  
Myeong Gun Kim ◽  
Wook-Jin Chung ◽  
Chang Hyu Choi ◽  
Jeonggeun Moon ◽  
Mi-Seung Shin ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Adult Patient ◽  
Septal Defect ◽  
Old Adult ◽  
Coronary Cusp ◽  
Right Coronary Cusp

Surgery for Aortic Insufficiency Associated with Ventricular Septal Defect

2005 ◽  
Vol 13 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Chareonkiat Rergkliang ◽  
Vorawit Chittithavorn ◽  
Apirak Chetpaophan ◽  
Prasert Vasinanukorn
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Aortic Insufficiency ◽  
Aortic Cusp ◽  
The Mean ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

Aortic valve repair in children is a challenge. We have adopted a technique of single aortic cusp extension with an autologous pericardial strip in patients diagnosed with severe aortic insufficiency (AI) associated with a ventricular septal defect (VSD). The purpose of this study was to report the short-term outcomes. Seven patients were operated on between January 2002 and December 2003. The mean age was 11.28 ± 2.1 years (range 8–14 years). The VSD was closed with a synthetic patch. Aortic cusp extension was performed at the right coronary cusp in 6 patients and the remainder had a non-coronary cusp extension. The mean diastolic arterial pressure increased from 35.71 ± 6.09 to 74.28 ± 7.31 mm Hg after the operation ( p < 0.001). The postoperative grade of AI was trivial in 4 patients, mild in 1 patient and non-existent in 2 patients. The mean follow-up period was 12.85 ± 6.12 months (range 2–20 months). This technique is very effective in patients with severe AI associated with a VSD. However, long-term durability will need to be carefully followed.

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