Demonstration of doubly committed juxta-arterial ventricular septal defect with aortic valve prolapse by cardiac computed tomography

2014 ◽  
Vol 8 (1) ◽  
pp. 83-84 ◽  
Author(s):  
Chong Hyun Suh ◽  
Dong Hyun Yang ◽  
Joon-Won Kang ◽  
Sung-Ho Jung ◽  
Jae-Kwan Song ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Cardiac Computed Tomography

scholarly journals Giant Dilatation of the Right Coronary Aortic Bulb with Compression of the Right Ventricular Outflow Tract Mimicking a Ventricular Septal Defect: Diagnostic workup Using Echocardiography, Heart Catheterization, and Cardiac Computed Tomography

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Nina P. Hofmann ◽  
Hassan Abdel-Aty ◽  
Stefan Siebert ◽  
Hugo A. Katus ◽  
Grigorios Korosoglou
Keyword(s):  
Computed Tomography ◽  
Blood Pressure ◽  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Right Ventricular ◽  
Septal Defect ◽  
Cardiac Computed Tomography ◽  
Outflow Tract ◽  
Annuloaortic Ectasia ◽  
The Right

Annuloaortic ectasia is a relatively rare diagnosis. Herein, we report an unusual case of an annuloaortic ectasia with asymmetric dilatation of the right coronary bulb mimicking a membranous ventricular septal defect (VSD) with Eisenmenger reaction by transthoracic echocardiography. Aortic angiography showed a dilated aortic root and moderate aortic regurgitation. Right cardiac catheterization, on the other hand, exhibited normal pulmonary artery blood pressure and normal pulmonary resistance, whereas normal venous gas values were measured throughout the caval vein and the right atrium, excluding relevant left-right shunting. Further diagnostic workup by cardiac computed tomography angiography (CCTA) unambiguously illustrated the asymmetric geometry of the ectatic aortic cusp and root causing compression of the right heart and of the right ventricular (RV) outflow tract. After review of echocardiographic acquisitions, the blood flow detected between the left and right ventricles (mimicking VSD) was interpreted as turbulent inflow from the left ventricle into the ectatic right coronary cusp. Furthermore, elevated pulmonary artery blood pressure measured by echocardiography was attributed to “functional pulmonary stenosis” due to compression of the RV outflow tract by the aorta, as demonstrated by CCTA.

scholarly journals Preoperative Visualization of a Muscular Ventricular Septal Defect by 64-Slice Cardiac Computed Tomography

2008 ◽  
Vol 21 (3) ◽  
pp. 281-281 ◽  
Author(s):  
Anumeha Tandon ◽  
Robert B. Allison ◽  
Paul A. Grayburn ◽  
Baron L. Hamman ◽  
Jeffrey M. Schussler
Keyword(s):  
Computed Tomography ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Cardiac Computed Tomography ◽  
Muscular Ventricular Septal Defect

A Case of Unicuspid Aortic Valve Associated with a Single Coronary Artery and Ventricular Septal Defect

Choonpa Igaku ◽  
2006 ◽  
Vol 33 (1) ◽  
pp. 75-81
Author(s):  
Hiroko ISHIGAMI ◽  
Masatsugu IWASE ◽  
Keiko HYOUDO ◽  
Idumi AOYAMA ◽  
Mamoru ITO ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Single Coronary Artery

scholarly journals More in, better out? Successful valve-in-valve procedure of an iatrogenic ventricular septal defect following transcatheter aortic valve replacement: a case report

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Klaus-Dieter Hönemann ◽  
Steffen Hofmann ◽  
Frank Ritter ◽  
Gerold Mönnig
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Septal Defect ◽  
Left Ventricular ◽  
Heart Team ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve

Abstract Background A rare, but serious, complication following transcatheter aortic valve replacement (TAVR) is the occurrence of an iatrogenic ventricular septal defect (VSD). Case summary We describe a case of an 80-year-old female who was referred with severe aortic stenosis for TAVR. Following thorough evaluation, the heart team consensus was to proceed with implantation via a transapical approach of an ACURATE neo M 25 mm valve (Boston Scientific, Natick, MA, USA). The valve was deployed harnessing transoesophageal echocardiographic (TOE) guidance under rapid pacing with post-dilation. Directly afterwards a very high VSD close to the aortic annulus was detected. As the patient was haemodynamically stable, the procedure was ended. The next day another TOE revealed a shunt volume (left-to-right ventricle) between 50% and 60%. Because the defect was partly located between the stent struts of the ACURATE valve decision was made to fix this leakage with implantation of a further valve and we chose an EVOLUT Pro 29 mm (Medtronic Inc., Minneapolis, MN, USA). The valve-in-valve was implanted 2–3 mm below the lower edge of the first valve, more towards the left ventricular outflow tract (LVOT) with excellent result: VSD was reduced to a very small residual shunt without any hemodynamic relevance. Discussion We suggest that an iatrogenic VSD located near the annulus may be treated percutaneously in a bail-out situation with implantation of a second valve that should be implanted slightly more into the LVOT to cover the VSD.

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