Asian Cardiovasc Thorac Ann 2005;13:61-64
© 2005 Asia Publishing EXchange Ltd
Surgery for Aortic Insufficiency Associated with Ventricular Septal Defect
Chareonkiat Rergkliang, MD,
Vorawit Chittithavorn, MD,
Apirak Chetpaophan, MD,
Prasert Vasinanukorn, MD
Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Prince of Songkla University, Songkhla, Thailand
For reprint information contact: Chareonkiat Rergkliang, MD Tel: 66 74 451 401 Fax: 66 74 429 384 Email: chareonkiat{at}yahoo.com, Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Prince of Songkla University, Songkhla 90110, Thailand.
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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