Korean Circ J.  1972 Jun;2(1):53-59. 10.4070/kcj.1972.2.1.53.

Two Cases of Ventricular Septal Defect with Aortic Insufficiency

• Kim SS
• Loh WS
• Lee WK
• Cha HD

• KMID: 1659426
• DOI: http://doi.org/10.4070/kcj.1972.2.1.53

Abstract

The ventricular septal defect with aortic insufficiency is a relatively uncommon congenital heart disease. Once the prolapse of aortic cusp complicates the ventricular septal defect, the prolapse of the aortic cusp is a progressive, rather than static lesion. With the curent possibility of surgical correction in cases of ventricular septal defect and other abnormalities, the differential diagnosis assumes marked importance. vTwo cases of ventricular septal defect with aortic insufficiency are presented with a review of pertinent literature. These young female patients had long standing palpitation and dyspnea on exertion since childhood. The physical examination showed with pulse pressure, bounding carotid pulsation and a systolic ejection-type murmur and a decrescendo diastolic murmur at the upper left sternal border, which simulated "machinery" type murmur of patent ductus arteriosus. The ventricular septal defect with aortic insufficiency was demonstrated by cardiac catheterization and cineangiocardiography.

MeSH Terms

Blood Pressure
Cardiac Catheterization
Cardiac Catheters
Diagnosis, Differential
Ductus Arteriosus, Patent
Dyspnea
Female
Heart Defects, Congenital
Heart Murmurs
Heart Septal Defects, Ventricular*
Humans
Physical Examination
Prolapse