Aortic valve repair in patients with ventricular septal defect.
BACKGROUND
The aim of the study is to evaluate early and late clinical outcomes of patients undergoing the aortic valve repair in patients associated with ventricular septal defect and to analyze whether age is a risk factor predicting repair failure.


METHODS
All patients who were underwent aortic valve repair with concomitant ventricular septal defect closure from 2006 to 2018 were included and divided into two groups: less than 10 years (Group 1) and more than or equal to 10 years (Group 2).


RESULTS
About 159 patients were included (Group 1 = 92; Group 2 = 67). Overall median age was 8 years, 70% were males. The most common ventricular septal defect was perimembranous in both groups. Two patients in Group 2 had to undergo aortic valve replacement subsequently which resulted in early mortality. Univariable analysis showed prolonged ventilation (p < .001), postoperative intensive care unit stay (p = .019) as significant factors for early mortality. Estimated survival was 97.6% ± 2.4 at the end of 5 years and 10 years in Group 1 and 93.6% ± 3.6 in Group 2. Freedom from residual aortic regurgitation more than or equal to moderate at 5 years and 10 years was 85.6% ± 4.9 and 55% ± 13.8 in Group 1 and 76.9% ± 6.7 and 47.4% ± 12.2 in Group 2, however, it was not significant (p = . .084).


CONCLUSION
The aortic valve repair in patients with ventricular septal defect provides satisfactory early and late results in terms of mortality and need for reintervention in all age groups.
['Kaskar|Ameya|A|http://orcid.org/0000-0002-2815-3995', 'Shetty|Varun|V|', 'Reddy|Chinnaswamy|C|', 'Shetty|Devi|D|']
D001021:Aortic Valve D001022:Aortic Valve Insufficiency D006348:Cardiac Surgical Procedures D002648:Child D006345:Heart Septal Defects, Ventricular D006801:Humans D007223:Infant D008297:Male D016896:Treatment Outcome
aortic valve repair