Interdisciplinary cardiovascular and thoracic surgery · 2026
Surgical Repair of Supracristal Ventricular Septal Defect With Combined Multivalvular Disease in an Elderly Patient: A Transaortic Approach.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Kanemitsu Shinji, Maruyama Satoshi, Yamasaki Takato, Kajiyama Koh
Аннотация
BACKGROUND: Uncorrected supracristal ventricular septal defect (VSD) in an elderly patient is rare and is often complicated by aortic regurgitation, multivalvular disease, and arrhythmias.
CASE SUMMARY: We present an elderly female with supracristal VSD, chronic atrial fibrillation, and multivalvular disease. A transaortic approach enabled direct visualization and secure patch closure through the same aortotomy used for aortic valve replacement. Concomitant mitral valve replacement, tricuspid annuloplasty, and a Maze procedure with left atrial volume reduction were performed.
CONCLUSION: This case demonstrates the transaortic approach as an effective strategy for combined VSD and valve surgery in elderly patients.
CASE SUMMARY: We present an elderly female with supracristal VSD, chronic atrial fibrillation, and multivalvular disease. A transaortic approach enabled direct visualization and secure patch closure through the same aortotomy used for aortic valve replacement. Concomitant mitral valve replacement, tricuspid annuloplasty, and a Maze procedure with left atrial volume reduction were performed.
CONCLUSION: This case demonstrates the transaortic approach as an effective strategy for combined VSD and valve surgery in elderly patients.