Abstract
Studies made on surgical as well as on autopsy cases of ventricular septal defect (VSD) at our Institute have indicated that after the (peri)membranous type of VSD, subpulmonic VSD (SPVSD; subarterial infundibular) is the most frequent type of VSD, in contrast to the frequency reported in the Caucasian series. The purpose of this presentation is to review the natural history of SPVSD based on cases experienced at the Heart Institute, Tokyo Women’s Medical College, and to discuss the specific features of various noninvasive diagnostic procedures identifying the subpulmonic location of VSD. The first part deals with the natural history. The natural history of SPVSD is unique in the following three aspects [1–3]: First, the aortic valve may prolapse into the SPVSD, resulting in aortic regurgitation [4–11]; second, aneurysm of the sinus of Valsalva may develop in association with the defect [11–13]; third, spontaneous closure rarely occurs.
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References
Momma K, Toyama K, Takao A, Ando M, Nakazawa M, Hirosawa K, Iami Y (1984) Natural history of subarterial infundibular ventricular septal defect. Am Heart J 108: 1312
Becker AE, Anderson RH (1981) Pathology of congenital heart disease. Butterworth & Co, Ltd., London, p 93
Soto B, Becker AE, Mouleart AJ, Lie JT, Anderson RH (1980) Classification of ventricular septal defect. Br Heart J 43: 332
Chung KJ, Manning JA (1974) Ventricular septal defect associated with aortic insufficiency: Medical and surgical management. Am Heart J 87: 435
Dimich I, Steinfeld L, Litwak RS, Park S, Silvers N (1973) Subpulmonic ventricular septal defect associated with aortic insufficiency. Am J Cardiol 32: 325
Goor DA, Lillehei CW (1975) Congenital malformations of the heart. Grune & Stratton, New York, p 297
Halloran KH, Talner NS, Browne MJ (1965) A study of ventricular septal defect associated with aortic insufficiency. Am Heart J 69: 320
Karpovich PP, Duff DF, Mullins CE, Cooley DA, McNamara DG (1981) Ventricular septal defect with associated aortic valve insufficiency. J Thorac Cardiovasc Surg 82: 182
Sakakibara S, Konno S (1968) Congenital aneurysm of the sinus of Valsalva associated with ventricular septal defect. Am Heart J 75: 595
Somverville J, Brandao A, Ross DN (1970) Aortic regurgitation with ventricular septal defect. Circulation 41: 317
Tatsuno K, Ando M, Takao A, Hatsune K, Konno S (1975) Diagnostic importance of aortography in conal ventricular septal defect. Am Heart J 89: 171
Plauth WH Jr, Braunwald E, Rockoff SD, Mason DT, Morrow AG (1965) Ventricular septal defect and aortic regurgitation: Clinical, hemodynamic and surgical considerations. Am J Med 39: 552
Sakakibara S, Konno S (1962) Congenital aneurysm of the sinus of Valsalva: Anatomy and classification. Am Heart J 63: 405
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© 1986 Springer Japan
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Takao, A., Momma, K., Tohyama, K., Sawada, Y., Mori, K. (1986). Natural history and noninvasive of diagnosis of subpulmonic ventricular septal defect. In: Lue, HC., Takao, A. (eds) Subpulmonic Ventricular Septal Defect. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68375-9_5
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DOI: https://doi.org/10.1007/978-4-431-68375-9_5
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-70014-2
Online ISBN: 978-4-431-68375-9
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