Intermedial to Long Term Surgical Management in Aortic Valve Insufficiency After Ventricular Septal Defect Repair
10.3969/j.issn.1000-3614.2009.03.018
- VernacularTitle:室间隔缺损修补术后中远期主动脉瓣关闭不全的外科治疗分析
- Author:
Zhiqiang LI
;
Xiangdong SHEN
;
Yinglong LIU
;
Hansong SUN
;
Xiaodong ZHU
- Publication Type:Journal Article
- Keywords:
Ventricular septal defect repair;
Aortic valve insufficiency;
Valvuloplasty;
Aortic valve replacement
- From:
Chinese Circulation Journal
2009;24(3):224-226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the intermedial to long term surgical management in aortic valve insufficiency(AI)after ventricular septal defect(VSD)repair.Methods:A total of 22 consecutive patients with AI after VSD repair in our hospital from January 1996 to December 2007 underwent surgical treatment were enrolled in this study. Valve perforation was mainly pathological changes. Aortic valve replacement was performed in 13 patients and aortic valvuloplasty was done in 9 patients.Results:One patient died after the operation.Post operative X-ray and echocardiogram revealed that both cardio-thoracic ratio(0.57±0.07 vs. 0.52±0.04 P<0.05)and left ventricular end diastolic diameter(54.5±10.2 mm vs. 46.7±5.8mm P<0.05)decreased markedly. 3 patients suffered from mild aortic regurgitation after valvuloplasty.Conclusion:The iatrogenic injury of aortic valve during VSD repair could be corrected satisfactorily by valve replacement or valvuloplasty.
