Ventricular septal defect with aortic insufficiency in the Philippines

  • Wilberto L. Lopez


Ventricular septal defect (VSD) with aortic insufficiency (AI) has gained prominence as a syndrome as it almost invariably leads to diminished exercise tolerance and subsequent heart failure after a nonsymptomatic period ranging from 2 to several years. Nadas and his associates [1] reported an incidence of 4.6%, while Tatsuno et al [2] in 1973 quoted an incidence of 8.2%. Another important feature of the syndrome that the latter authors emphasized was the high incidence of subpulmonic VSD (78% of 91 cases). This is different from the incidence reported in the USA and Europe, where the subpulmonic and infracristal types of VSD occur with more or less equal frequency.


Aortic Valve Right Ventricular Aortic Valve Replacement Ventricular Septal Defect Ventricular Septal Defect 
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  1. 1.
    Nadas AS Thilenius OG Lafarge CG, and Hauck AJ (1964) Ventricular septal defect with aortic regurgitation: Medical and pathologic aspects. Circulation 29: 862PubMedCrossRefGoogle Scholar
  2. 2.
    Tatsuno K, Konno S, Sakakibara S (1973) Ventricular septal defect with aortic insufficiency: Angiocardiographic aspects and a new classification. Am Heart J 85: 13–21PubMedCrossRefGoogle Scholar
  3. 3.
    Van Praagh R, McNamara JJ (1968) Anatomic types of ventricular septal defect with aortic insufficiency, Am Heart J 75: 604PubMedCrossRefGoogle Scholar
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    Spencer FC, Bahnson HT Neil CA (1962) The treatment of aortic regurgitation associated with VSD. J Thorac Cardiovasc Surg 43: 222–233PubMedGoogle Scholar
  5. 5.
    Gonzalez-Lavin L, Barratt-Boyes BG (1969) Surgical consideration in the treatment of ventricular septal defect associated with aortic valvular incompetence. J Thorac Cardiovasc Surg 57: 422–430PubMedGoogle Scholar

Copyright information

© Springer Japan 1986

Authors and Affiliations

  • Wilberto L. Lopez
    • 1
  1. 1.Department of Pediatric CardiologyPhilippine Heart Center for AsiaManilaThe Philippines

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