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Ann Thorac Surg 1987;43:363-367
© 1987 The Society of Thoracic Surgeons

Articles

Ventricular Septal Defect Associated with Aortic Regurgitation

Kouichi Hisatomi, M.D.*, Kenichi Kosuga, M.D., Tadashi Isomura, M.D., Haruo Akagawa, M.D., Kiroku Ohishi, M.D., Michihiro Koga, M.D.

Second Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, 830, Japan

Accepted for publication June 12, 1986.

* Address reprint requests to Dr. Hisatomi, Second Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, 830, Japan

The effectiveness of aortic valvuloplasty and the indications for aortic valve replacement were examined in 76 patients with ventricular septal defect associated with aortic regurgitation. Results of this study indicate aortic regurgitation is associated with rapid deterioration and that aortic valvuloplasty should be performed as soon as aortic regurgitation is detected. The data also suggest that aortoplasty is indicated if aortic valvuloplasty alone is inadequate for coaptation of the aortic cusps with thickening.




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