Author(s):
1. Deebaj Nadeem:
National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan
Abstract:
A case of 30 years’ male, a farmer by occupation who was a diagnosed case of a ventricular septal defect (VSD) since the age of seven, but refused for surgical closure back then, came in the emergency room (ER) with decompensated congestive cardiac failure and peripheral edema. After initial stabilization, he underwent transthoracic echocardiography (TTE) that showed small perimembranous VSD with the left to right shunt, a subaortic membrane with severe left ventricular outflow tract (LVOT) obstruction and moderate aortic and mitral regurgitation. TTE was followed by Computed Tomography (CT) thoracic aortogram that revealed small VSD with significant aortic regurgitation (AR). Subaortic membrane, aneurysmal dilated aortic root and ascending aorta and aneurysmal dilated pulmonary arteries. Cardiac surgeons were taken onboard and advised for VSD closure with aortic valve replacement, subaortic membrane resection and aortic root replacement. Patient and family were counseled regarding the procedure but refused again for surgical closure.
Page(s):
92-96
DOI:
DOI not available
Published:
Journal: Pakistan Heart Journal, Volume: 53, Issue: 1, Year: 2020
Keywords:
Adult
,
Ventricular Septal Defect
,
Aortic Regurgitation
,
Subaortic Membrane
,
Pulmonary Roots Dilation
References:
References are not available for this document.
Citations
Citations are not available for this document.