Neo-cusp Reconstruction Procedure for Aortic Regurgitation Induced by Transcatheter Occluder Device for Ventricular...

Area of Science:

• Cardiology
• Cardiac Surgery
• Medical Devices

Background:

• Perimembranous ventricular septal defects (VSDs) are often treated with transcatheter device closure.
• Aortic regurgitation (AR) is a recognized complication following VSD device closure.
• Cusp perforation leading to severe AR necessitates advanced surgical intervention.

Observation:

• An 11-year-old boy presented with severe aortic regurgitation.
• The regurgitation resulted from aortic valve cusp perforation.
• This complication occurred 5 years after transcatheter device closure of a VSD.

Findings:

• The patient underwent successful aortic valve repair using a neo-cusp reconstruction technique.
• The repair involved cusp replacement and shaving of the VSD device rim.
• This surgical approach effectively addressed the severe AR.

Implications:

• This case highlights a rare but serious complication of VSD device closure.
• The neo-cusp reconstruction technique offers a viable solution for complex aortic valve pathology.
• Successful surgical repair can significantly improve patient outcomes in challenging cardiac cases.