A transaortic approach enabled direct visualization and secure patch closure for combined ventricular septal defect and multivalvular surgery in an elderly patient.
Case Report (n=1)
No
Is the transaortic approach an effective strategy for combined ventricular septal defect and valve surgery in elderly patients?
A transaortic approach is an effective strategy for combined ventricular septal defect and valve surgery in elderly patients.
Uncorrected supracristal ventricular septal defect in an elderly patient is rare. We present elderly female with supracristal ventricular septal defect, 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. This case demonstrates the transaortic approach as an effective strategy for combined ventricular septal defect and valve surgery in elderly patients.
Kanemitsu et al. (Sun,) conducted a case report in Supracristal ventricular septal defect with combined multivalvular disease (n=1). Transaortic approach for surgical repair was evaluated. A transaortic approach enabled direct visualization and secure patch closure for combined ventricular septal defect and multivalvular surgery in an elderly patient.