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Case Reports
. 2020 Jan-Mar;23(1):103-105.
doi: 10.4103/aca.ACA_238_18.

Iatrogenic aortic regurgitation following primary closure of ventricular septal defect: Role of transesophageal echocardiography

Krishna P Gourav  1 , Azeez Aspari  1 , Vamsidhar Amburu  1 , Shyam S Thingnam  2 , Sunder Negi  1
Affiliations
Case Reports

Iatrogenic aortic regurgitation following primary closure of ventricular septal defect: Role of transesophageal echocardiography

Krishna P Gourav et al. Ann Card Anaesth. 2020 Jan-Mar.

Abstract

Iatrogenic valvular regurgitation following cardiac surgery has been reported as a result of leaflet perforation or entrapment. Due to its central location, the aortic valve is one of the most vulnerable structures for iatrogenic injuries. Proper assessment of the aortic valve by transesophageal echocardiography (TEE) should be done after a cardiac surgery in the periaortic area. We hereby report a case of iatrogenic aortic regurgitation which was developed after primary closure of perimembranous ventricular septal defect. It was timely diagnosed by TEE after termination of cardiopulmonary bypass and helped in further management.

Keywords: Iatrogenic aortic regurgitation; transesophageal echocardiography; ventricular septal defect.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
A transthoracic echocardiographic image showing a small perimembranous ventricular septal defect (VSD) with Gerbode defect in parasternal aortic valve short-axis view (AO, ascending aorta; LA, left atrium; RA, right atrium; RV, right ventricle)
Figure 2
Figure 2
A transesophageal echocardiographic image showing a small perimembranous ventricular septal defect (VSD) with left to right shunt in midesophageal aortic valve long-axis view (AO, ascending aorta; LA, left atrium; LV, left ventricle; RV, right ventricle)
Figure 3
Figure 3
A midesophageal aortic valve long-axis view showing an eccentric aortic regurgitation of moderated severity developed after primary closure of ventricular septal defect (AO, ascending aorta; LA, left atrium; LV, left ventricle; RV, right ventricle)
Figure 4
Figure 4
An image taken in midesophageal aortic valve long-axis view after patch closure of ventricular septal defect showing no or trivial aortic regurgitation (AO, ascending aorta; CPB, cardio pulmonary bypass; LA, left atrium; LV, left ventricle; RV, right ventricle)
See this image and copyright information in PMC

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