Author + information
- Received May 26, 2013
- Accepted June 5, 2013
- Published online November 19, 2013.
- Ram Kirti Saran, MD, DM,
- Rajiv Bharat Kharwar, MD,
- Sudhanshu Kumar Dwivedi, MD, DM and
- Sharad Chandra, MD, DM
A 20-year-old male with congenital perimembranous ventricular septal defect (VSD) was referred to our department for evaluation of new-onset dyspnea and a continuous murmur over the left sternal border. Transthoracic echocardiography (A to C, Online Video 1) demonstrated the VSD with 2 overlapping velocities on continuous-wave Doppler (D). Three-dimensional echocardiography (E to H, Online Videos 2, 3, and 4) demonstrated VSD below the aortic valve and ruptured sinus of Valsalva (RSOV) into the right ventricle above the aortic valve. Left ventriculography (I, Online Video 5) and aortography (J, Online Video 6) confirmed the presence of VSD with RSOV into the right ventricle. The patient underwent successful patch closure of the VSD along with repair of the RSOV. The dyspnea improved postoperatively, and the patient is doing fine on follow-up (AV = aortic valve; LA = left atria; LV = left ventricle; PA = pulmonary artery; RA = right atria; RV = right ventricle).
- Received May 26, 2013.
- Accepted June 5, 2013.
- 2013 American College of Cardiology Foundation