Related Experiment Video
Updated: Apr 15, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Surgical Repair of Supracristal Ventricular Septal Defect With Combined Multivalvular Disease in an Elderly Patient:
Shinji Kanemitsu1, Satoshi Maruyama1, Takato Yamasaki1
1Department of Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Aichi 446-8602, Japan.
Background:
Uncorrected supracristal ventricular septal defect (VSD) in an elderly patient is rare and is often complicated by aortic regurgitation, multivalvular disease, and arrhythmias.
Case Summary:
We present an elderly female with supracristal VSD, chronic atrial fibrillation, and multivalvular disease. A transaortic approach enabled direct visualization and secure patch closure through the same aortotomy used for aortic valve replacement. Concomitant mitral valve replacement, tricuspid annuloplasty, and a Maze procedure with left atrial volume reduction were performed.
Conclusion:
This case demonstrates the transaortic approach as an effective strategy for combined VSD and valve surgery in elderly patients.
Related Concept Videos
Mitral Stenosis III: Medical Management
Mitral Regurgitation III: Medical Management
Aortic Regurgitation III: Medical Management
Mitral Stenosis I: Introduction
Cardiomyopathy V: Interprofessional Care
Mitral Valve Prolapse II: Assessment and Management

