title: [A case report of an infundibular ventricular septal defect with severe right ventricular outflow tract obstruction due to aneurysm of the aortic sinus of valsalva].
abstract: This paper describes the case of a 46-year-old female. Upon contacting infective endocarditis at the age of 39 years, she was diagnosed with a ventricular septal defect (VSD). Because dyspnea gradually worsened, she was later hospitalized. Cardiac catheterization was performed and angiograms were taken, revealing an infundibular VSD accompanied by severe right ventricular outflow tract obstruction (RVOTO) due to aneurysm of aortic sinus of valsalva and to mild aortic regurgitation caused by prolapsing aortic valve. The operative procedure consisted of the closure of the aortic sinus fistula by continuous suture after excision of the aneurysmal sac and patch closure of the VSD without treatment of the prolapsing aortic valve. After the operation, RVOTO improved and aortic regurgitation disappeared. The patient was discharged and has since been well.
authors.affiliation: Department of Cardiovascular Surgery, Osaka National Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Shuntoh
authors.forename: N
authors.initials: N
authors.lastname: Kitamura
authors.forename: S
authors.initials: S
authors.lastname: Kimura
authors.forename: S
authors.initials: S
authors.lastname: Noji
authors.forename: T
authors.initials: T
authors.lastname: Miki
authors.forename: A
authors.initials: A
authors.lastname: Yamaguchi
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology; D001023:Aortic Valve Prolapse / Q000150:complications; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000601:surgery