Doubly committed subarterial ventricular septal defect with prolapsed right coronary cusp with moderate aortic regurgitation

  • Redoy Ranjan Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Asit Baran Adhikary Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mohammad Rashal Chowdhury Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md. Kabiruzzaman Aalok Health Care ltd, Dhaka
  • Md. Mushfiqur Rahman Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
Keywords: Aortic regurgitation, Prolapsed right coronary cusp, Subarterial, Ventricular septal defect

Abstract

A 4 year old girl was presented with the respiratory tract infection, breathlessness after taking meal, failure to thrive, abnormal movement of the chest on left side overlying the area of heart and systolic murmur. She developed these symptoms gradually for the last 3.5 years. Echocardiography revealed doubly committed subarterial ventricular septal defect with moderate aortic regurgitation. The size of the ventricular septal defect was 7 x 9 mm at the left ventricular outflow tract. The right coronary cusp of the aortic valve was prolapsed. Left atrium and left ventricle were dilated. The pulmonary artery systolic pressure was 35 mm Hg. The ventricular septal defect was closed with the standard surgical procedure using cardiopulmonary bypass followed by aortotomy and right atriotomy. Immediate post-operative period of this case was uneventful and the patient was discharged on 9th post-operative day. Follow-up echocardiography showed no residual ventricular septal defect or aortic regurgitation and the ventricular function was good.

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Published
2017-11-26
How to Cite
Ranjan, R., Adhikary, A., Chowdhury, M., Kabiruzzaman, M., & Rahman, M. (2017). Doubly committed subarterial ventricular septal defect with prolapsed right coronary cusp with moderate aortic regurgitation. Bangabandhu Sheikh Mujib Medical University Journal, 10(4), 240-242. https://doi.org/10.3329/bsmmuj.v10i4.34561
Section
Case Reports