Aortic Valve Prolapse Echo
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The development and timing of aortic valve prolapse (AoVP) and aortic regurgitation (AR) was studied by two-dimensional echocardiography in 99 consecutive patients with supracristal ventricular septal defect (VSD). Thirty patients (30%) had aortic valve prolapse (VSD + AoVP group), and 31 patients (31%) had AoVP with AR (VSD + AoVP + AR group). In the VSD + AoVP group, AoVP was detected first by echocardiography at the age of 6.8 +/- 4.2 years (mean +/- SD). In the VSD + AoVP + AR group, the interval from detection of AoVP to the appearance of AR was 3.4 +/- 2.0 years. The configuration of the prolapsed aortic valve was echocardiographically classified into two types: tear-drop type (small) prolapse and box type (large) prolapse. The frequency of tear-drop type prolapse was not significantly different between VSD + AoVP and VSD + AoVP + AR groups (43% versus 32%, respectively), indicating that even minor AoVP can result in AR. Four infants (4%) had AoVP at the ages of 1, 5, 7, and 11 months, respectively. All infants had tear-drop type prolapse. Two infants developed AR by colour flow mapping at the ages of 3 and 11 months, and the interval from prolapse to AR was only 2 and 4 months, respectively.
Conclusion:
Aortic valce involvement can develop under the age of 1 year in supracristal VSD. Regular evaluation by two-dimensional echocardiography with colour flow mapping is important in the follow-up of children with supracristal VSD.
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Clinical applications of echocardiography.
Echocardiography of the normal and diseased aortic valve.
Echocardiography of the aortic root.
Echocardiographic manifestations of valvular vegetations.
Diagnosis of aortic root dissection by echocardiography.
Echocardiographic recognition of the congenital bicuspid aortic valve.
Echocardiographic manifestations of right sinus of Valsalva aneurysm.
Rupture of a sinus of Valsalva aneurysm: Report of a case diagnosed preoperatively by echocardiography.
© 1976 The American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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https://pubmed.ncbi.nlm.nih.gov/7758512/
https://journal.chestnet.org/article/S0012-3692(16)61078-4/pdf?code=chest-site
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