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Surgical Strategy for Doubly Committed Subarterial Ventricular Septal Defect With Aortic Cusp Prolapse  Hiroyoshi Komai, Yasuaki Naito, Keiichi Fujiwara,

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Presentation on theme: "Surgical Strategy for Doubly Committed Subarterial Ventricular Septal Defect With Aortic Cusp Prolapse  Hiroyoshi Komai, Yasuaki Naito, Keiichi Fujiwara,"— Presentation transcript:

1 Surgical Strategy for Doubly Committed Subarterial Ventricular Septal Defect With Aortic Cusp Prolapse  Hiroyoshi Komai, Yasuaki Naito, Keiichi Fujiwara, Yasuzo Noguchi, Yoshiharu Nishimura, Shigeru Uemura  The Annals of Thoracic Surgery  Volume 64, Issue 4, Pages (October 1997) DOI: /S (97)

2 Fig. 1 The period from the first diagnosis of aortic regurgitation (AR) until the operation (the waiting period) was significantly longer in the persistent AR group (32.1 ± 10.1 months) than in the eliminated AR group (5.6 ± 1.9 months; p = 0.014). The Annals of Thoracic Surgery  , DOI: ( /S (97) )

3 Fig. 2 Retrograde aortography before the operation. In the group with persistent aortic regurgitation the prolapsed cusp was fixed and did not change the shape of the protruded portion in both the systolic and diastolic phases in 4 of the 6 patients (A), whereas in the group with eliminated aortic regurgitation the cusp was flexible in 4 of the 5 patients (B). The arrow indicates the site of prolapse. The Annals of Thoracic Surgery  , DOI: ( /S (97) )

4 Fig. 3 The grades of aortic regurgitation during each phase of the study period. The Annals of Thoracic Surgery  , DOI: ( /S (97) )

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