Doubly committed Subarterial Ventricular Septal defect repair: An experience of 51 cases

Waqar, Tariq; Rizvi, Muhammad Farhan Ali; Baig, Ahmad Raza

doi:10.12669/pjms.335.13429

Cited by 3 publications

(6 citation statements)

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“…In a pilot study, we studied the promising results of repair of aortic valve disease in DCSA VSD. 6 Nevertheless, the fact is that in our country many VSD cases are undiagnosed till later age and associated AR is usually progressed at much larger stage than reported in western studies. 4 , 6 A significant proportion even fails to follow up after surgical repair due to lack of comprehensive follow up pathways.…”

Section: Introductionmentioning

confidence: 56%

“… 6 Nevertheless, the fact is that in our country many VSD cases are undiagnosed till later age and associated AR is usually progressed at much larger stage than reported in western studies. 4 , 6 A significant proportion even fails to follow up after surgical repair due to lack of comprehensive follow up pathways. Resultantly, published data about extent of aortic valve disease associated with VSD and post-surgical prognosis in Pakistani population is very scarce.…”

Section: Introductionmentioning

confidence: 56%

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Surgical outcome of repair of aortic valve prolapse and regurgitation associated with ventricular septal defect

Waqar¹,

Rizvi²,

Nasir

et al. 2021

Pak J Med Sci

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Objective: To analyze the outcome of repair of aortic valve disease associated with various types of ventricular septal defect. Methods: In a retrospective observational study design, data of seventy-two patients of ventricular septal defect (VSD) associated with aortic valve prolapse (AVP) and aortic regurgitation (AR) who was operated in Punjab Institute of cardiology from May 2016 to April 2020 was collected. Depending on presence of AR, all patients were divided in four groups. Group-I (VSD and AVP but no AR) had fifteen patients. Only VSD was closed in this group. Group-II (VSD and Mild AR) had forty patients, only VSD was closed in this group as well. Group-III (VSD and Moderate AR) had ten patients, VSD closure and aortic valve repair was done. Group-IV (VSD and severe AR) had seven patients. Aortic valve was repaired in five patients and replaced (AVR) in two patients along with VSD closure. Associated anomalies were addressed as well. Results: Group-I: Twelve out of fifteen patients (80%) showed no post-operative AR. While two patients (13.3%) showed Trace AR. Single patient (6.6%) showed mild AR. There results were unchanged after mean follow up of 36 months. Group-II: Eight out of forty patients (20%) had no AR, while eight (20%) had trace AR. Twenty-three (57.5%) patients had mild AR. Single (2.5%) patient had moderate AR. After follow up of 24 months the patient with moderate AR progressed to severe AR. We are planning to do Aortic Valve Replacement (AVR) in this case. Rest of cases showed no progression of disease. Group-III: Two out of ten patients (20%) had no AR, four (40%) had trace AR, while four (40%) had mild AR. Mean follow up was 42 months (2.5 years). Neither trace nor mild AR progressed to severe or moderate AR. Group-IV: Among seven patients, five underwent repair while two had AVR. Out of five patients who underwent aortic valve repair, four patients (57.1%) were declared mild AR, while severe AR was converted to moderate AR in single patient (14.28%). Mean follow up was 18 months. The moderate AR patient has progressed to severe AR for last six months and we are planning to do AVR in this patient. Postoperative echo of patients with AVR showed adequately functioning aortic valve with AVPG mean 10 mmHg and 15 mm Hg respectively, with no residual AR. Conclusions: Aortic regurgitation associated with VSD is a congenital lesion with continuously active aortic valve disease resulting in significant morbidity and mortality. Early diagnosis, effective treatment and meticulous follow up decelerate and in most cases arrest the disease process. doi: https://doi.org/10.12669/pjms.37.3.3067 How to cite this:Waqar T, Rizvi MFA, Nasir JA, Khan K. Surgical outcome of repair of aortic valve prolapse and regurgitation associated with ventricular septal defect. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3067 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Introductionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 56%

Surgical outcome of repair of aortic valve prolapse and regurgitation associated with ventricular septal defect

Waqar¹,

Rizvi²,

Nasir

et al. 2021

Pak J Med Sci

Self Cite

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“…If closure was indicated on the basis of a haemodynamically significant shunt, then this would not be deemed 'early' closure. Previous work, 11…”

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confidence: 99%

“…Overall, the studies of Waqar et al . 4 , 11 deserve appreciation and show that mid-term outcomes are excellent in CHD patients. This reflects their surgical skills and experiences at a “high-volume” tertiary center.…”

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confidence: 99%

“…If closure was indicated on the basis of a haemodynamically significant shunt, then this would not be deemed ‘early’ closure. Previous work, 11 also published in the Pakistan Journal of Medical Science by the same author group but from a different tertiary heart center, reported on patients with sub-arterial VSD undergoing surgery. As with the most recent work, the study population was similarly classified according to the degree of aortic valve involvement.…”

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confidence: 99%

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Burden of VSD associated aortic valve cusp prolapse with aortic regurgitation and the impact of early surgery on clinical outcomes in South Asia

Saeed

Emmanuel

2021

Pak J Med Sci

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doi: https://doi.org/10.12669/pjms.37.5.4845 How to cite this:Saeed S, Emmanuel Y. Burden of VSD associated aortic valve cusp prolapse with aortic regurgitation and the impact of early surgery on clinical outcomes in South Asia. Pak J Med Sci. 2021;37(5):1259-1261. doi: https://doi.org/10.12669/pjms.37.5.4845 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comparison of complications between transcatheter and surgical ventricle septal defect closure: a single-center cohort study

Yosy¹,

Djer²,

Putra³

2020

Med J Indones

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BACKGROUND Some ventricular septal defects (VSDs) require an interventional procedure for closure. Transcatheter and surgical closures of VSD have similar effectiveness, but transcatheter VSD closure is considered associated with less complication than surgical closure. This study aimed to compare mid-term or long-term complications of transcatheter and surgical VSD closures. METHODS This was a retrospective cohort study compared the complication rates of transcatheter and surgical VSD closures performed in Cipto Mangunkusumo Hospital from January 1, 2010, to April 30, 2017, with 34 subjects in each group. The inclusion criteria were as follows: single lesion outlet perimembranous or doubly committed subarterial VSD, age 2–18 years, body weight >8 kg, and no arrhythmia. Electrocardiography and echocardiography were done to collect primary data. Other data were collected from medical records. Mid-term complications occurred 1–24 months after interventional closure. Long-term complications occurred 24 months after interventional closure. Complications were arrhythmia, valve regurgitation, and residual shunt. Data were analyzed by chi-square test. RESULTS The rate of worsening valve regurgitation was higher in the transcatheter group than in the surgical group (16 versus 11, p = 0.322). The number of patients with residual shunts were similar between the transcatheter group and surgical group (5 versus 5; p = 1.000). Both complications were found in mid- and long-term. Arrhythmia as a long-term complication occurred in five and seven patients in the transcatheter and surgical groups, respectively (p = 0.752). CONCLUSIONS Transcatheter and surgical VSD closures have similar mid or long-term complications.

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Doubly committed Subarterial Ventricular Septal defect repair: An experience of 51 cases

Cited by 3 publications

References 14 publications

Surgical outcome of repair of aortic valve prolapse and regurgitation associated with ventricular septal defect

Surgical outcome of repair of aortic valve prolapse and regurgitation associated with ventricular septal defect

Burden of VSD associated aortic valve cusp prolapse with aortic regurgitation and the impact of early surgery on clinical outcomes in South Asia

Comparison of complications between transcatheter and surgical ventricle septal defect closure: a single-center cohort study

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