Loading…
Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects
Background Progression of aortic regurgitation (AR) in repaired outlet ventricular septal defects (VSDs) remains unclear, especially for muscular outlet and perimembranous outlet VSDs. We tried to identify the risk factors for AR progression and aortic valve replacement (AVR) at long-term follow-up....
Saved in:
Published in: | The American heart journal 2007-02, Vol.153 (2), p.336-342 |
---|---|
Main Authors: | , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463 |
---|---|
cites | cdi_FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463 |
container_end_page | 342 |
container_issue | 2 |
container_start_page | 336 |
container_title | The American heart journal |
container_volume | 153 |
creator | Chiu, Shuenn-Nan, MD Wang, Jou-Kou, MD, PhD Lin, Ming-Tai, MD Chen, Chun-An, MD Chen, Hui-Chi, BS, MS Chang, Chung-I, MD Chen, Yih-Sharng, MD, PhD Chiu, Ing-Sh, MD, PhD Lue, Hung-Chi, MD Wu, Mei-Hwan, MD, PhD |
description | Background Progression of aortic regurgitation (AR) in repaired outlet ventricular septal defects (VSDs) remains unclear, especially for muscular outlet and perimembranous outlet VSDs. We tried to identify the risk factors for AR progression and aortic valve replacement (AVR) at long-term follow-up. Methods Four hundred patients with complete follow-up after the repair of their outlet VSD between 1987 and 2002 were studied. Results Juxta-arterial VSD, perimembranous outlet VSD, and muscular outlet VSD were noted in 190, 148, and 62 patients, respectively. There were 377 patients with none to mild AR (group I) and 23 with moderate to severe AR (group II) preoperatively. Aortic valve replacement was performed on 11 patients (all from group II), with 10 having received AVR concomitantly with VSD repair and 1 having received it 4 years later. Only severity of preoperative AR and older age (>15 years) at VSD repair were significant predictors of AVR. With a total follow-up of 2230 person-years, the 10-year freedom from AVR after VSD repair for group I was 100% and that for group II was 50.2%. In group I, AR progressed in 4 patients only (1.2%, 2 juxta-arterial and 2 perimembranous outlet) and aortic valvular (aortic valve prolapse or ruptured sinus Valsalva aneurysm) or subvalvular anomalies were present in all. The event-free (AR or AVR) survival rates among the 3 outlet-type VSDs however showed no difference. Conclusions Aortic regurgitation progression modes after surgical VSD repair were similar among the 3 outlet-type VSDs. Aortic valve replacement was rarely necessary for patients who were operated on when they were younger than 15 years. Aortic regurgitation of a less-than-moderate degree preoperatively rarely progressed after VSD repair. |
doi_str_mv | 10.1016/j.ahj.2006.10.025 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68935029</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002870306009525</els_id><sourcerecordid>68935029</sourcerecordid><originalsourceid>FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463</originalsourceid><addsrcrecordid>eNp9kl-L1DAUxYMo7rj6AXyRguhbx5s0TRuEBVn8BwsK6nNI05sxtdOMSbow396EGRjYB5_Cvfndw8nJJeQlhS0FKt5NW_172jIAkestsPYR2VCQXS06zh-TDQCwuu-guSLPYpxyKVgvnpIr2rFGCik3xHwPfhcwRueXyttK-5CcqQLu1rBzSafS1zZhqGLpGD3ny4N2odB-TTOmOh0PWN3jkoIz66wzioeUwREtmhSfkydWzxFfnM9r8uvTx5-3X-q7b5-_3n64q03bQMqmwWRf2NjBDHxglhnet6aRw8B03-PIrGlQyr5BxviAduDAKUUOvdaUi-aavD3pHoL_u2JMau-iwXnWC_o1KtHLpgUmM_j6ATj5NSzZm6ItcAFStEWOnigTfIwBrToEt9fhqCiokr-aVM5flfxLK-efZ16dlddhj-Nl4hx4Bt6cAR1zljboxbh44aQEIbs-c-9PHObA7h0GFY3DxeDoQs5Ujd7918bNg2kzu6V83h88Yry8VkWmQP0oi1L2BASAbLPAPw9QuK4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1504609656</pqid></control><display><type>article</type><title>Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects</title><source>ScienceDirect Freedom Collection</source><creator>Chiu, Shuenn-Nan, MD ; Wang, Jou-Kou, MD, PhD ; Lin, Ming-Tai, MD ; Chen, Chun-An, MD ; Chen, Hui-Chi, BS, MS ; Chang, Chung-I, MD ; Chen, Yih-Sharng, MD, PhD ; Chiu, Ing-Sh, MD, PhD ; Lue, Hung-Chi, MD ; Wu, Mei-Hwan, MD, PhD</creator><creatorcontrib>Chiu, Shuenn-Nan, MD ; Wang, Jou-Kou, MD, PhD ; Lin, Ming-Tai, MD ; Chen, Chun-An, MD ; Chen, Hui-Chi, BS, MS ; Chang, Chung-I, MD ; Chen, Yih-Sharng, MD, PhD ; Chiu, Ing-Sh, MD, PhD ; Lue, Hung-Chi, MD ; Wu, Mei-Hwan, MD, PhD</creatorcontrib><description>Background Progression of aortic regurgitation (AR) in repaired outlet ventricular septal defects (VSDs) remains unclear, especially for muscular outlet and perimembranous outlet VSDs. We tried to identify the risk factors for AR progression and aortic valve replacement (AVR) at long-term follow-up. Methods Four hundred patients with complete follow-up after the repair of their outlet VSD between 1987 and 2002 were studied. Results Juxta-arterial VSD, perimembranous outlet VSD, and muscular outlet VSD were noted in 190, 148, and 62 patients, respectively. There were 377 patients with none to mild AR (group I) and 23 with moderate to severe AR (group II) preoperatively. Aortic valve replacement was performed on 11 patients (all from group II), with 10 having received AVR concomitantly with VSD repair and 1 having received it 4 years later. Only severity of preoperative AR and older age (>15 years) at VSD repair were significant predictors of AVR. With a total follow-up of 2230 person-years, the 10-year freedom from AVR after VSD repair for group I was 100% and that for group II was 50.2%. In group I, AR progressed in 4 patients only (1.2%, 2 juxta-arterial and 2 perimembranous outlet) and aortic valvular (aortic valve prolapse or ruptured sinus Valsalva aneurysm) or subvalvular anomalies were present in all. The event-free (AR or AVR) survival rates among the 3 outlet-type VSDs however showed no difference. Conclusions Aortic regurgitation progression modes after surgical VSD repair were similar among the 3 outlet-type VSDs. Aortic valve replacement was rarely necessary for patients who were operated on when they were younger than 15 years. Aortic regurgitation of a less-than-moderate degree preoperatively rarely progressed after VSD repair.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2006.10.025</identifier><identifier>PMID: 17239699</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Age ; Aortic Valve Insufficiency - epidemiology ; Biological and medical sciences ; Cardiology ; Cardiology. Vascular system ; Cardiovascular ; Child ; Child, Preschool ; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava ; Defects ; Disease Progression ; Endocardial and cardiac valvular diseases ; Female ; Follow-Up Studies ; Heart ; Heart Septal Defects, Ventricular - pathology ; Heart Septal Defects, Ventricular - surgery ; Humans ; Infant ; Infant, Newborn ; Intubation ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Mortality ; Pulmonary arteries ; Risk Factors ; Sinuses ; Surgery ; Time Factors ; Veins & arteries</subject><ispartof>The American heart journal, 2007-02, Vol.153 (2), p.336-342</ispartof><rights>Mosby, Inc.</rights><rights>2007 Mosby, Inc.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Elsevier Limited Feb 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463</citedby><cites>FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19906978$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17239699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiu, Shuenn-Nan, MD</creatorcontrib><creatorcontrib>Wang, Jou-Kou, MD, PhD</creatorcontrib><creatorcontrib>Lin, Ming-Tai, MD</creatorcontrib><creatorcontrib>Chen, Chun-An, MD</creatorcontrib><creatorcontrib>Chen, Hui-Chi, BS, MS</creatorcontrib><creatorcontrib>Chang, Chung-I, MD</creatorcontrib><creatorcontrib>Chen, Yih-Sharng, MD, PhD</creatorcontrib><creatorcontrib>Chiu, Ing-Sh, MD, PhD</creatorcontrib><creatorcontrib>Lue, Hung-Chi, MD</creatorcontrib><creatorcontrib>Wu, Mei-Hwan, MD, PhD</creatorcontrib><title>Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Progression of aortic regurgitation (AR) in repaired outlet ventricular septal defects (VSDs) remains unclear, especially for muscular outlet and perimembranous outlet VSDs. We tried to identify the risk factors for AR progression and aortic valve replacement (AVR) at long-term follow-up. Methods Four hundred patients with complete follow-up after the repair of their outlet VSD between 1987 and 2002 were studied. Results Juxta-arterial VSD, perimembranous outlet VSD, and muscular outlet VSD were noted in 190, 148, and 62 patients, respectively. There were 377 patients with none to mild AR (group I) and 23 with moderate to severe AR (group II) preoperatively. Aortic valve replacement was performed on 11 patients (all from group II), with 10 having received AVR concomitantly with VSD repair and 1 having received it 4 years later. Only severity of preoperative AR and older age (>15 years) at VSD repair were significant predictors of AVR. With a total follow-up of 2230 person-years, the 10-year freedom from AVR after VSD repair for group I was 100% and that for group II was 50.2%. In group I, AR progressed in 4 patients only (1.2%, 2 juxta-arterial and 2 perimembranous outlet) and aortic valvular (aortic valve prolapse or ruptured sinus Valsalva aneurysm) or subvalvular anomalies were present in all. The event-free (AR or AVR) survival rates among the 3 outlet-type VSDs however showed no difference. Conclusions Aortic regurgitation progression modes after surgical VSD repair were similar among the 3 outlet-type VSDs. Aortic valve replacement was rarely necessary for patients who were operated on when they were younger than 15 years. Aortic regurgitation of a less-than-moderate degree preoperatively rarely progressed after VSD repair.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aortic Valve Insufficiency - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</subject><subject>Defects</subject><subject>Disease Progression</subject><subject>Endocardial and cardiac valvular diseases</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart Septal Defects, Ventricular - pathology</subject><subject>Heart Septal Defects, Ventricular - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intubation</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Pulmonary arteries</subject><subject>Risk Factors</subject><subject>Sinuses</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Veins & arteries</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNp9kl-L1DAUxYMo7rj6AXyRguhbx5s0TRuEBVn8BwsK6nNI05sxtdOMSbow396EGRjYB5_Cvfndw8nJJeQlhS0FKt5NW_172jIAkestsPYR2VCQXS06zh-TDQCwuu-guSLPYpxyKVgvnpIr2rFGCik3xHwPfhcwRueXyttK-5CcqQLu1rBzSafS1zZhqGLpGD3ny4N2odB-TTOmOh0PWN3jkoIz66wzioeUwREtmhSfkydWzxFfnM9r8uvTx5-3X-q7b5-_3n64q03bQMqmwWRf2NjBDHxglhnet6aRw8B03-PIrGlQyr5BxviAduDAKUUOvdaUi-aavD3pHoL_u2JMau-iwXnWC_o1KtHLpgUmM_j6ATj5NSzZm6ItcAFStEWOnigTfIwBrToEt9fhqCiokr-aVM5flfxLK-efZ16dlddhj-Nl4hx4Bt6cAR1zljboxbh44aQEIbs-c-9PHObA7h0GFY3DxeDoQs5Ujd7918bNg2kzu6V83h88Yry8VkWmQP0oi1L2BASAbLPAPw9QuK4</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Chiu, Shuenn-Nan, MD</creator><creator>Wang, Jou-Kou, MD, PhD</creator><creator>Lin, Ming-Tai, MD</creator><creator>Chen, Chun-An, MD</creator><creator>Chen, Hui-Chi, BS, MS</creator><creator>Chang, Chung-I, MD</creator><creator>Chen, Yih-Sharng, MD, PhD</creator><creator>Chiu, Ing-Sh, MD, PhD</creator><creator>Lue, Hung-Chi, MD</creator><creator>Wu, Mei-Hwan, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects</title><author>Chiu, Shuenn-Nan, MD ; Wang, Jou-Kou, MD, PhD ; Lin, Ming-Tai, MD ; Chen, Chun-An, MD ; Chen, Hui-Chi, BS, MS ; Chang, Chung-I, MD ; Chen, Yih-Sharng, MD, PhD ; Chiu, Ing-Sh, MD, PhD ; Lue, Hung-Chi, MD ; Wu, Mei-Hwan, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aortic Valve Insufficiency - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Defects</topic><topic>Disease Progression</topic><topic>Endocardial and cardiac valvular diseases</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart Septal Defects, Ventricular - pathology</topic><topic>Heart Septal Defects, Ventricular - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intubation</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Pulmonary arteries</topic><topic>Risk Factors</topic><topic>Sinuses</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Shuenn-Nan, MD</creatorcontrib><creatorcontrib>Wang, Jou-Kou, MD, PhD</creatorcontrib><creatorcontrib>Lin, Ming-Tai, MD</creatorcontrib><creatorcontrib>Chen, Chun-An, MD</creatorcontrib><creatorcontrib>Chen, Hui-Chi, BS, MS</creatorcontrib><creatorcontrib>Chang, Chung-I, MD</creatorcontrib><creatorcontrib>Chen, Yih-Sharng, MD, PhD</creatorcontrib><creatorcontrib>Chiu, Ing-Sh, MD, PhD</creatorcontrib><creatorcontrib>Lue, Hung-Chi, MD</creatorcontrib><creatorcontrib>Wu, Mei-Hwan, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Health Management Database (ProQuest)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Shuenn-Nan, MD</au><au>Wang, Jou-Kou, MD, PhD</au><au>Lin, Ming-Tai, MD</au><au>Chen, Chun-An, MD</au><au>Chen, Hui-Chi, BS, MS</au><au>Chang, Chung-I, MD</au><au>Chen, Yih-Sharng, MD, PhD</au><au>Chiu, Ing-Sh, MD, PhD</au><au>Lue, Hung-Chi, MD</au><au>Wu, Mei-Hwan, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>153</volume><issue>2</issue><spage>336</spage><epage>342</epage><pages>336-342</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background Progression of aortic regurgitation (AR) in repaired outlet ventricular septal defects (VSDs) remains unclear, especially for muscular outlet and perimembranous outlet VSDs. We tried to identify the risk factors for AR progression and aortic valve replacement (AVR) at long-term follow-up. Methods Four hundred patients with complete follow-up after the repair of their outlet VSD between 1987 and 2002 were studied. Results Juxta-arterial VSD, perimembranous outlet VSD, and muscular outlet VSD were noted in 190, 148, and 62 patients, respectively. There were 377 patients with none to mild AR (group I) and 23 with moderate to severe AR (group II) preoperatively. Aortic valve replacement was performed on 11 patients (all from group II), with 10 having received AVR concomitantly with VSD repair and 1 having received it 4 years later. Only severity of preoperative AR and older age (>15 years) at VSD repair were significant predictors of AVR. With a total follow-up of 2230 person-years, the 10-year freedom from AVR after VSD repair for group I was 100% and that for group II was 50.2%. In group I, AR progressed in 4 patients only (1.2%, 2 juxta-arterial and 2 perimembranous outlet) and aortic valvular (aortic valve prolapse or ruptured sinus Valsalva aneurysm) or subvalvular anomalies were present in all. The event-free (AR or AVR) survival rates among the 3 outlet-type VSDs however showed no difference. Conclusions Aortic regurgitation progression modes after surgical VSD repair were similar among the 3 outlet-type VSDs. Aortic valve replacement was rarely necessary for patients who were operated on when they were younger than 15 years. Aortic regurgitation of a less-than-moderate degree preoperatively rarely progressed after VSD repair.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>17239699</pmid><doi>10.1016/j.ahj.2006.10.025</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-8703 |
ispartof | The American heart journal, 2007-02, Vol.153 (2), p.336-342 |
issn | 0002-8703 1097-6744 |
language | eng |
recordid | cdi_proquest_miscellaneous_68935029 |
source | ScienceDirect Freedom Collection |
subjects | Adolescent Adult Age Aortic Valve Insufficiency - epidemiology Biological and medical sciences Cardiology Cardiology. Vascular system Cardiovascular Child Child, Preschool Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Defects Disease Progression Endocardial and cardiac valvular diseases Female Follow-Up Studies Heart Heart Septal Defects, Ventricular - pathology Heart Septal Defects, Ventricular - surgery Humans Infant Infant, Newborn Intubation Male Medical imaging Medical sciences Middle Aged Mortality Pulmonary arteries Risk Factors Sinuses Surgery Time Factors Veins & arteries |
title | Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T10%3A00%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Progression%20of%20aortic%20regurgitation%20after%20surgical%20repair%20of%20outlet-type%20ventricular%20septal%20defects&rft.jtitle=The%20American%20heart%20journal&rft.au=Chiu,%20Shuenn-Nan,%20MD&rft.date=2007-02-01&rft.volume=153&rft.issue=2&rft.spage=336&rft.epage=342&rft.pages=336-342&rft.issn=0002-8703&rft.eissn=1097-6744&rft.coden=AHJOA2&rft_id=info:doi/10.1016/j.ahj.2006.10.025&rft_dat=%3Cproquest_cross%3E68935029%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c530t-670c723e3fbcb4b2f2c485c39bb2a88ed2fc3e9983e224befb40411e408aa1463%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1504609656&rft_id=info:pmid/17239699&rfr_iscdi=true |