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Eur J Cardiothorac Surg 2005;28:508-509
© 2005 Elsevier Science NL

Letter to the Editor

Acquired aortic regurgitation after repair of congenital heart defects: another pitfall of ‘corrective’ surgery?

Ospedale Bambino Gesù, Roma, Italia

Received 29 March 2005; accepted 6 June 2005.

^* Corresponding author. Address: Dipartimento Medico-Chirurgico di Cardiologia Pediatrica, Ospedale Bambino Gesù, Roma, Italia, Piazza S. Onofrio 4, 00165 Roma, Italia. Tel.: +39 06 6859 4265; fax: +39 06 6859 2257. (Email: d.dicarlo@mclink.it).

Key Words: Congenital heart defects • Aortic regurgitation • Aortic valve surgery

The first 20% of the full text of this article appears below.

In their article, Ishizaka and co-workers [1] provide further information on prevalence, causes and management of acquired aortic regurgitation (AR) after repair of Fallot's Tetralogy; they recommend aortic valve repair unless the valve is obviously dysplastic and we strongly agree with them. In the Authors' experience, older age at repair and a bulboventricular VSD acted as risk factor for development/progression of AR.

By reading this paper and other relevant literature [2,3], one is led to think that acquired AR in children/adolescents is almost exclusively related to abnormalities of the left ventricular outflow tract and thoracic aorta or Fallot's Tetralogy. . . . [Full Text of this Article]