Aortic Root Replacement in Patients With Ventricular Septal Defect.

ABSTRACT:

Background

Aortic root replacement in patients with ventricular septal defect (VSD) requires a modified surgical technique.

Methods

Between 2000 and 2022, 12 patients with aortic regurgitation and VSD underwent an operation. Their age at operation was 31.8 (SD 19.9) years. The VSD was patent in 5 patients and spontaneously or surgically closed in 7 patients. The location of the VSD was subarterial in 6 patients, perimembranous in 5, and muscular in 1 patient. The aortic valve was tricuspid in 8 patients, bicuspid in 2, and unicuspid in 2. Eight patients also had annuloaortic ectasia.

Results

The VSDs were closed using a patch in 4 patients and directly closed in 1 patient. The aortic root procedures were valve-sparing reimplantation in 7 patients, root remodeling in 1

SUBMITTER: Takahashi R 

PROVIDER: S-EPMC12712189 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature