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(Circulation. 1970;41:317.)
© 1970 American Heart Association, Inc.

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Aortic Regurgitation with Ventricular Septal Defect

Surgical Management and Clinical Features

JANE SOMERVILLE M.D. M.R.C.P.¹; A. BRANDAO M.D.¹; DONALD N. ROSS F.R.C.S.¹

¹ From the National Heart Hospital and Institute of Cardiology, University of London, London, England.

Twenty patients with ventricular septal defect and aortic regurgitation had surgical correction using cardiopulmonary bypass. Direct suture of the ventricular defect through the aorta and repair or replacement of the aortic valve were performed. Homograft replacement of the aortic valve was preferred to repair and was associated with less aortic regurgitation after operation. There were one operative death and one late death due to aortic regurgitation. Follow-up for 1 to 6 years showed that 17 of the 18 survivors have had a satisfactory result.

Key Words: Cardiac catheterization • Homograft • Electrocardiograms • Aortic valve abnormality • Angiocardiography

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