Related Experiment Video

Updated: Aug 18, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Surgery for aortic insufficiency associated with ventricular septal defect

Chareonkiat Rergkliang1, Vorawit Chittithavorn, Apirak Chetpaophan

  • 1Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Prince of Songkla University, Songkhla 90110, Thailand. chareonkiat@yahoo.com

Asian Cardiovascular & Thoracic Annals
|March 29, 2005
PubMed

Insights

A novel aortic valve repair using pericardial strips effectively treats severe aortic insufficiency (AI) in children with ventricular septal defects (VSD). This technique shows promising short-term results, improving blood pressure and reducing AI severity.

Area of Science:

  • Pediatric Cardiac Surgery
  • Aortic Valve Repair
  • Congenital Heart Defects

Background:

  • Aortic valve repair in pediatric patients presents significant surgical challenges.
  • Severe aortic insufficiency (AI) often coexists with congenital heart defects like ventricular septal defects (VSD).

Purpose of the Study:

  • To evaluate the short-term outcomes of a specific aortic valve repair technique in children.
  • To assess the efficacy of single aortic cusp extension with autologous pericardium in patients with AI and VSD.

Main Methods:

  • A cohort of seven pediatric patients with severe AI and VSD underwent aortic valve repair between 2002 and 2003.
  • The technique involved single aortic cusp extension using an autologous pericardial strip, with VSD closure via a synthetic patch.
  • Repairs were performed on the right coronary cusp (6 patients) or non-coronary cusp (1 patient).

Main Results:

  • Mean patient age was 11.28 years.
  • Significant improvement in mean diastolic arterial pressure post-operation (35.71 to 74.28 mm Hg, p < 0.001).
  • Postoperative AI was trivial (4 patients), mild (1 patient), or non-existent (2 patients) at a mean follow-up of 12.85 months.

Conclusions:

  • Single aortic cusp extension with autologous pericardium is a highly effective short-term solution for severe AI associated with VSD in children.
  • Long-term durability of this aortic valve repair technique requires ongoing monitoring and evaluation.

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...