title: Further insights into the syndrome of prolapsing non-coronary aortic cusp and ventricular septal defect.
abstract: Ventricular septal defect (VSD) with prolapse of the right coronary cusp and aortic regurgitation can be managed surgically with the anatomical correction technique. However when the VSD is located underneath the non coronary cusp surgical management differs due to anatomical constraints and secondary pathological changes seen in the non coronary cusp. It is therefore important that the location of the VSD and the morphology of prolapsing cusp be characterised preoperatively in order to plan appropriate surgical repair. We present a case study in which we discuss the salient differences in the surgical management of the prolapsing right and the prolapsing non coronary cusps.
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Akhlaque N
authors.initials: AN
authors.lastname: Bhat
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Sallehuddin
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Riyas
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Reyaz Ahmad
authors.initials: RA
authors.lastname: Lone
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Pawel
authors.initials: P
authors.lastname: Tyrsarowski
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Suresh
authors.initials: S
authors.lastname: Kumar
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Jiju
authors.initials: J
authors.lastname: John
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Bhaskar
authors.affiliation: CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
authors.forename: Syed
authors.initials: S
authors.lastname: Zin
authors.affiliation: Director Qatar Cardiovascular Research Centre, Doha, Qatar.
authors.forename: Magdi H
authors.initials: MH
authors.lastname: Yacoub
keywords: aortic cusp prolapse; aortic regurgitation; sinus of valsalva; ventricular septal defect