J Korean Radiol Soc.  1981 Dec;17(3):467-474. 10.3348/jkrs.1981.17.3.467.

Radiological evaluation of ventricular septal defect with aortic insufficiency: an analysis of cineangiographyin 15 cases

• Park JH
• Yeon KM
• Han MC

• KMID: 2463378
• DOI: http://doi.org/10.3348/jkrs.1981.17.3.467

Abstract

Fifteen cases of ventricular septal defect with aortic insufficiency were diagnosed radiographically andconfirmed after operation at Seoul National University Hospital in recent two and half years since 1979.Cineangiographies of ascending aorta and left ventricle were done in those cases and revealed some characteristicfindings. The resuls of the analysis are as follow; 1. Among the 15 cases, 14 cases were male and 1 case wasfemale. Age distribution was from 7 years to 23 years. 2. Those 15 cases were corresponded to 8% among total 193cases of ventricular septal defect, to 11% among total 135 cases of aortic insufficiency and especially to 48%among 48 cases of aortic in sufficiency below age of 20 years. 3. After operation, 11 cases were confirmed assubpulmonary type ventricular septal defect and 4 cases as subcristal type. The sizeds of the ventricular septaldefects were ranged between 0.6 and 2.5cm in diameter. 4. Regurgitation of contrast media was noticed in cineaortography of all cases, and the grades of regurgitation were II-III/IV in 13 cases. 5. Various types ofherniated aortic cusp through ventricular septal defect were seen. In the cases of subpulmonary ventricular septaldefect characteristic saccular aneurysm was found in 7 cases. Asymmetry or mild bulging of aortic sinus was foundin the cases of subcristal ventricular septal defect. 6. Infundibular stenosis was found in 3 cases with rightventriculography and those were caused by the herniated saccular aneurysm of aortic cusp. 7. It is essential forthe diagnosis of ventricular septal defect with aortic insufficiency to undertake biplane cineangiography ofascending aorta and left ventricle in long axial view and right ventriculograhy should be done in suspicion ofinfundibular pulmonary stenosis.

MeSH Terms

Age Distribution
Aneurysm
Aorta
Cineangiography
Constriction, Pathologic
Contrast Media
Diagnosis
Heart Septal Defects, Ventricular*
Heart Ventricles
Humans
Male
Pulmonary Valve Stenosis
Seoul
Sinus of Valsalva
Contrast Media