Repair of a Supracristal Ventricular Septal Defect in an Adult
Conrad Gray1, John Pirris2, Adrienne Warrick3
1Anesthesiology, University of Florida College of Medicine, Jacksonville, USA.
Insights
Supracristal ventricular septal defects (VSDs), a rare congenital heart issue, can persist into adulthood. This case study details managing an adult with a supracristal VSD and severe aortic insufficiency.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Ventricular septal defects (VSDs) are common congenital heart abnormalities.
- Supracristal VSDs are a rare subtype, accounting for 2-3% of all VSDs.
- While many VSDs resolve in childhood, some persist into adulthood, causing various symptoms.
Observation:
- This report focuses on a complex adult case.
- The patient presented with a supracristal VSD.
- Severe aortic insufficiency (AI) was a resultant complication.
Findings:
- The study describes the perioperative management of this complex adult case.
- Successful management strategies for supracristal VSD with AI in adults are discussed.
Implications:
- This case highlights the importance of recognizing and managing rare VSD subtypes in adults.
- Effective perioperative care is crucial for patients with complex congenital heart defects.
- Understanding supracristal VSDs and associated AI can improve clinical outcomes.
Abstract:
Ventricular septal defects (VSDs) are the most common congenital cardiac abnormalities occurring in five out of every 1000 births. Supracristal VSDs (located above the crista supraventicularis) are very rare and comprise only 2%-3% of all VSDs. Many VSDs close spontaneously during childhood; however, a substantial portion may not and are present in adulthood with a myriad of symptoms. We describe the management of a complex case of an adult patient with a supracristal VSD and resultant severe aortic insufficiency (AI) in the perioperative setting.
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