Why the study?
Does plication of a membranous septal aneurysm resolve right ventricular obstruction in a patient with a history of VSD?
Does plication of a membranous septal aneurysm resolve right ventricular obstruction in a patient with a history of VSD?
Plication of a membranous septal aneurysm successfully resolved right ventricular obstruction and associated clinical signs in a patient with a history of VSD.
Plication resolved RV obstruction signs in one post-VSD case; hypothesis-generating and should not yet change practice.
A 32-year-old man with a history of ventricular septal defect presented with systolic and diastolic murmurs and vectocardiographic evidence of right ventricular hypertrophy. Echocardiography demonstrated a prominent systolic bulging of the interventricular septum into the right ventricle. Left ventricular angiograms indicated that the ultrasonic abnormality was based on an aneurysm of the membranous septum which produced a 35 mm Hg gradient within the right ventricle. After plication of this aneurysm, murmur and abnormal septal protrusion were not recorded.
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Silvestre et al. (1979) studied this question.
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