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American Journal of Roentgenology, Vol 106, 32-41, Copyright © 1969 by American Roentgen Ray Society


VENTRICULAR SEPTAL DEFECT ASSOCIATED WITH AORTIC INSUFFICIENCY

VICTOR DEUTSCH M.D.1, LEONARD C. BLIEDEN M.B., B.CH.2, YONEL KRAUS M.D.2, JOSEPH H. YAHINI M.D.2, and HENRY N. NEUFELD M.D.2

1 From the Radiological Department, Tel-Hashomer Government Hospital, University of Tel-Aviv Medical School, Israel
2 From the Heart Institute, Tel-Hashomer Government Hospital, University of Tel-Aviv Medical School, Israel

Ten cases of ventricular septal defect associated with aortic insufficiency are presented. In this syndrome the aortic insufficiency is a complication of the ventricular septal defect. The underlying anatomy is reviewed and a possible explanation for the presence of the aortic insufficiency is suggested.

The roentgenographic and cardioangiographic features are stressed. Thoracic aortography may reveal characteristic deformities produced by the involved aortic sinuses and their prolapsed leaflets. Selective right ventriculography may aid in the evaluation of the obstruction of the right ventricular outflow tract.


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