Open AccessVENTRICULAR SEPTAL DEFECT WITH SEVERE AORTIC REGURGITATION, SUB AORTIC STENOSIS, AORTIC AND PULMONARY ROOTS DILATION IN AN ADULT: A CASE REPORT
Author(s) -
Deebaj Nadeem,
Abdul Mueed,
Parveen Akhtar
Publication year - 2020
Publication title -
pakistan heart journal
Language(s) - English
Resource type - Journals
eISSN - 2227-9199
pISSN - 0048-2706
DOI - 10.47144/phj.v53i1.1723
Subject(s) - medicine , cardiology , ascending aorta , ventricular outflow tract , stenosis , peripheral edema , aortic valve , regurgitation (circulation) , heart failure , shunt (medical) , aorta , adverse effect
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. Key Words: Ventricular Septal Defect, Aortic Regurgitation, Subaortic Membrane, Pulmonary Roots Dilation, Adult