Redo Valve-Sparing Root Replacement for Delayed Cusp Derangement From Ventricular Septal Defect

Yuanjia Zhu; Jeffrey E Cohen; Michael Ma; Y Joseph Woo

doi:10.1016/j.athoracsur.2019.03.040

Redo Valve-Sparing Root Replacement for Delayed Cusp Derangement From Ventricular Septal Defect

Ann Thorac Surg. 2019 Nov;108(5):e295-e296. doi: 10.1016/j.athoracsur.2019.03.040. Epub 2019 Apr 12.

Authors

Yuanjia Zhu¹, Jeffrey E Cohen¹, Michael Ma¹, Y Joseph Woo²

Affiliations

¹ Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
² Department of Cardiothoracic Surgery, Stanford University, Stanford, California. Electronic address: [email protected].

PMID: 30986415
DOI: 10.1016/j.athoracsur.2019.03.040

Abstract

A 28-year-old man with ventricular septal defect, double-chambered right ventricle with associated right ventricular outflow tract obstruction, and anomalous right coronary artery underwent resection of the double-chambered right ventricle, transaortic ventricular septal defect repair, and unroofing of anomalous right coronary artery. Two years later, he returned with delayed presentation of ventricular septal defect flow funnel-related aortic cusp prolapse and symptomatic severe aortic regurgitation. He underwent reoperative valve-sparing aortic root replacement and aortic cusp repair with an excellent outcome.

Publication types

Case Reports

MeSH terms

Adult
Aortic Valve Insufficiency / surgery*
Aortic Valve Prolapse / surgery*
Heart Septal Defects, Ventricular / surgery*
Humans
Male
Postoperative Complications / surgery*
Reoperation
Time Factors