Demonstration of doubly committed juxta-arterial ventricular septal defect with aortic valve prolapse by cardiac computed tomography

Chong Hyun Suh; Dong Hyun Yang; Joon-Won Kang; Sung-Ho Jung; Jae-Kwan Song; Tae-Hwan Lim

doi:10.1016/j.jcct.2013.12.012

Demonstration of doubly committed juxta-arterial ventricular septal defect with aortic valve prolapse by cardiac computed tomography

J Cardiovasc Comput Tomogr. 2014 Jan-Feb;8(1):83-4. doi: 10.1016/j.jcct.2013.12.012. Epub 2014 Jan 11.

Authors

Chong Hyun Suh¹, Dong Hyun Yang², Joon-Won Kang¹, Sung-Ho Jung³, Jae-Kwan Song⁴, Tae-Hwan Lim¹

Affiliations

¹ Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Asanbyeongwon-gil 86, Seoul, 138-736, South Korea.
² Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Asanbyeongwon-gil 86, Seoul, 138-736, South Korea. Electronic address: donghyun.yang@gmail.com.
³ Department of Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁴ Department of Medicine, Division of Cardiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

PMID: 24582047
DOI: 10.1016/j.jcct.2013.12.012

Abstract

A 24-year-old man presented to our hospital with symptoms of dyspnea and palpitation for 2 weeks. Cardiac CT showed not only a leaflet coaptation defect in the aortic valve but also a small ventricular septal defect (VSD) immediately beneath the prolapsed right coronary cusp. A shunt flow in the direction of the right ventricular outflow tract though the defect indicated the doubly committed juxta-arterial type of VSD. A doubly committed juxta-arterial VSD of 3 mm was confirmed and repaired via pulmonary arteriotomy.

Keywords: Aortic valve prolapse; Cardiac computed tomography; Doubly committed juxta-arterial ventricular septal defect.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aortic Valve Prolapse / complications*
Aortic Valve Prolapse / diagnostic imaging*
Aortic Valve Prolapse / surgery
Heart Septal Defects, Ventricular / complications*
Heart Septal Defects, Ventricular / diagnostic imaging*
Heart Septal Defects, Ventricular / surgery
Humans
Male
Tomography, X-Ray Computed / methods*
Treatment Outcome
Young Adult