[Interventricular septal defects in combination with aortic valve insufficiency and the problems of their surgical...

Twenty-one operative interventions were performed on patients with interventricular septal defects and aortic insufficiency in the period between 1964 and 1976. The authors believe that the main component of the operative tactics is correction of aortic insufficiency, which in most cases may be achieved by plastic surgery of the abnormal cusps. Since mild aortic insufficiency remaining in some of the patients after the operation causes no marked disorders of hemodynamics, the authors assume that at the current stage prosthetics of the valve is justified only if plastic correction of the abnormality is absolutely impossible.