Outcome of Surgery for Aortic Regurgitation Associated with Ventricular Septal Defect

Abstract

Background: To evaluate the short term outcome of patients undergoing surgery for aortic valve regurgitation (AR) associated with ventricular septal defect (VSD). Patients and Methods: In this prospective study forty patients of aortic regurgitation with ventricular septal defect were studied. All patients underwent VSD closure and aortic valve repair if AR was moderate or more in intensity. Results: The mean age of the study population was 7.64±3.6 years with 33(82.5%) males and 7(17.5%) females. Mean weight was 20.95±8.3 Kgs. Peri membranous type VSD was more frequently observed (85%). Severe Pulmonary Hypertension was observed in 60%. Aortic Regurgitation was severe in 30%.Isolated VSD closure was performed in 15%.Post operative echocardiography revealed no AR in 52.5%. One year survival rate was 97.5%. Conclusion: As a result of aortic valve repair there is improvement in aortic regurgitation in patients with more than moderate AR preoperatively.