TY - JOUR
T1 - Infundibular septal defect with severe aortic regurgitation
T2 - A new surgical approach
AU - Bonhoeffer, Philipp
AU - Fabbrocini, Mario
AU - Lecompte, Yves
AU - Cifarelli, Alberta
AU - Ballerini, Luigi
AU - Frigiola, Alessandro
AU - Menicanti, Lorenzo
AU - Festa, Pierluigi
PY - 1992
Y1 - 1992
N2 - 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.
AB - 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.
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U2 - 10.1016/0003-4975(92)91449-J
DO - 10.1016/0003-4975(92)91449-J
M3 - Article
C2 - 1570982
AN - SCOPUS:0026721541
VL - 53
SP - 851
EP - 853
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 5
ER -