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Related Experiment Videos

Ross procedure and ventricular septal defect correction with prolapsed cusp.

Roberto Rocha-e-Silva1, Pablo M A Pomerantzeff, Robinson T Munhoz

  • 1Division of Surgery, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil. rors@terra.com.br

The Annals of Thoracic Surgery
|June 25, 2005
PubMed
Summary

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This case study details the successful surgical correction of a perimembranous ventricular septal defect and aortic insufficiency in a young man. The patient recovered well and remains asymptomatic, demonstrating the efficacy of the surgical approach.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Congenital Heart Disease

Background:

  • Perimembranous ventricular septal defect (VSD) and aortic insufficiency (AI) are significant congenital heart conditions.
  • A prolapsed aortic cusp can lead to severe AI, requiring timely intervention.
  • Surgical correction is often necessary to address these complex cardiac defects.

Observation:

  • A 31-year-old male presented with an asymptomatic perimembranous VSD and AI secondary to a prolapsed right aortic cusp.
  • The patient's condition was managed surgically, involving VSD repair and aortic valve replacement via the Ross procedure.

Findings:

  • The VSD was successfully repaired by rotating the right aortic cusp.
  • The Ross procedure effectively addressed the aortic insufficiency.

Related Experiment Videos

  • Postoperative follow-up revealed no residual VSD and only trivial AI.
  • The patient remained asymptomatic and medication-free one year after surgery.

    • Implications:

    • This case highlights a successful combined surgical approach for VSD and AI in an adult.
    • The Ross procedure offers a viable option for aortic valve replacement in select cases.
    • Minimally invasive techniques and cusp rotation can lead to favorable long-term outcomes in congenital heart defect repair.