Related Experiment Video

Updated: Sep 6, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

3.8K

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

Swati Garekar1, Ronak Sheth1, Shivaji Mali2

  • 1Department of Pediatric Cardiology, 425959Fortis Pediatric and Congenital Heart Centre, Mulund, Mumbai, India.

World Journal for Pediatric & Congenital Heart Surgery
|June 27, 2022
PubMed

Insights

Transcatheter device closure for perimembranous ventricular septal defects can cause aortic regurgitation. A novel neo-cusp reconstruction technique successfully repaired severe aortic valve regurgitation in an 11-year-old boy.

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.

Keywords:
Ventricular septal defectaortic regurgitationdevice closure

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

14.2K
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.6K

Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
35
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
50
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...
38
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
50