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Ann Thorac Surg 1986;41:489-491
© 1986 The Society of Thoracic Surgeons

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Articles

Reoperation after Aortic Valvuloplasty for Aortic Regurgitation Associated with Ventricular Septal Defect

Departments of Cardiovascular Surgery and Pediatric Cardiology, Tenri Hospital, Tenri, Nara, Japan

Accepted for publication July 19, 1985.

^* Address reprint requests to Dr. Ohkita, Department of Cardiovascular Surgery, Tenri Hospital, Mishima 200, Tenri City, Nara Prefecture, 632, Japan

Five patients underwent reoperations because residual or recurrent aortic regurgitation occurred after aortic valvuloplasty for aortic regurgitation associated with ventricular septal defect. The mean age at reoperation was 22 years old, and the mean time interval between initial and second operation was 6 years, 10 months. The pathological findings of the aortic valves showed tears and perforation of repaired leaflets in four patients and a giant pseudoaneurysm of the Valsalva sinus in one. Aortic valvuloplasties were performed again in three patients, and aortic valves were replaced with prosthetic valves in two. Slight to moderate regurgitant murmurs are still audible in patients who underwent these valvuloplasties.

Ventricular septal defects should be closed before aortic regurgitation develops. If it has developed, however, valvuloplasty should be considered as a first choice in young patients. For adult patients, aortic valve replacement is recommended.

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