Ventricular septal defect associated with aortic regurgitation and ascending aortic aneurysm: a case report

Journal of Medical Case Reports

Case Report

Edmond Haliti¹  Ibadete Bytyçi²  Gani Bajraktari²  Besim Bytyçi³  Michael Y. Henein⁴ 

[1] Clinic of Cardiology, University Clinical Centre of Kosova, Rrethi i Spitalit, pn., 10000, Prishtina, Republic of Kosovo;Clinic of Cardiology, University Clinical Centre of Kosova, Rrethi i Spitalit, pn., 10000, Prishtina, Republic of Kosovo;Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden;Clinic of Rheumatology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo;Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden;

关键词: Inter-ventricular septal defect;    Aortic regurgitation;    Venturi effect;    Ascending aortic aneurysm;   

DOI  :  10.1186/s13256-023-04167-7

 received in 2022-10-26, accepted in 2023-09-08,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionVentricular septal defect (VSD) is one of the most common congenital cardiac anomalies. Patients with perimembranous VSD may have aortic regurgitation (AR) secondary to prolapse of the aortic cusp.Case presentationWe present a case of 23-year-old White man with VSD, AR and ascending aortic aneurysm. The patient presented to outpatient clinic with weakness and gradual worsening shortness of breath for the past 5 years. Clinical examination revealed regular heart rhythm and loud continuous systolic-diastolic murmur (Lewin’s grade 6/6), heard all over the precordium, associated with a palpable thrill. The ECG showed right axis deviation, fractionated QRS in V1 and signs of biventricular hypertrophy. The chest X-ray showed cardiomegaly. Transthoracic and transesophageal echocardiograms showed a perimembranous VSD with moderate restrictive shunt (Qp/Qs = 1.6), aortic regurgitation (AR), and ascending aortic aneurysm. Other clinical and laboratory findings were within normal limits.ConclusionsPerimembranous VSD, may be associated with aortic regurgitation and ascending aortic aneurysm as secondary phenomenon if it is not early diagnosed and successfully treated.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 5

Fig. 2