Two Cases of Ventricular Septal Defect with Aortic Insufficiency.
10.4070/kcj.1972.2.1.53
- Author:
Sung Soon KIM
;
Won Shick LOH
;
Woong Ku LEE
;
Hong Do CHA
- Publication Type:Case Report
- MeSH:
Blood Pressure;
Cardiac Catheterization;
Cardiac Catheters;
Diagnosis, Differential;
Ductus Arteriosus, Patent;
Dyspnea;
Female;
Heart Defects, Congenital;
Heart Murmurs;
Heart Septal Defects, Ventricular*;
Humans;
Physical Examination;
Prolapse
- From:Korean Circulation Journal
1972;2(1):53-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The ventricular septal defect with aortic insufficiency is a relatively uncommon congenital heart disease. Once the prolapse of aortic cusp complicates the ventricular septal defect, the prolapse of the aortic cusp is a progressive, rather than static lesion. With the curent possibility of surgical correction in cases of ventricular septal defect and other abnormalities, the differential diagnosis assumes marked importance. vTwo cases of ventricular septal defect with aortic insufficiency are presented with a review of pertinent literature. These young female patients had long standing palpitation and dyspnea on exertion since childhood. The physical examination showed with pulse pressure, bounding carotid pulsation and a systolic ejection-type murmur and a decrescendo diastolic murmur at the upper left sternal border, which simulated "machinery" type murmur of patent ductus arteriosus. The ventricular septal defect with aortic insufficiency was demonstrated by cardiac catheterization and cineangiocardiography.
