Infundibular septal defect with severe aortic regurgitation: A new surgical approach

Philipp Bonhoeffer, Mario Fabbrocini, Yves Lecompte, Alberta Cifarelli, Luigi Ballerini, Alessandro Frigiola, Lorenzo Menicanti, Pierluigi Festa

Research output: Contribution to journalArticlepeer-review


Aortic regurgitation associated with prolapse of an aortic cusp and an infundibular septal defect is caused by the lack of anatomical support for the aortic annulus by the conal septum. This fact is taken into consideration in the new surgical approach that we performed in 5 children 3 to 16 years of age with infundibular ventricular septal defect and severe aortic regurgitation. The ventricular septal defect is closed by a patch anchored to another patch through the prolapsed cusp. This second patch is pulled up with the prolapsed cusp and is then fixed in the aortic wall. In all 5 patients, all clinical signs of aortic insufficiency disappeared, and only minimal aortic regurgitation could be demonstrated by color Doppler mapping.

Original languageEnglish
Pages (from-to)851-853
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number5
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery


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