Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1982 Aug;48(2):189–191. doi: 10.1136/hrt.48.2.189

Severe subpulmonary obstruction caused by an aneurysmal tissue tag complicating an infundibular perimembranous ventricular septal defect.

M Bonvicini, G Piovaccari, F M Picchio
PMCID: PMC481226  PMID: 7093089

Abstract

A case of severe right ventricular obstruction caused by a huge aneurysmal tissue tag is described associated with a perimembranous ventricular septal defect with an infundibular extension. Angiograms and surgical inspection clearly showed that the ventricular septal defect extended into the outlet septum. The distinctive features of this case was the severity of the gradient related to the peculiar position of the aneurysmal tissue in the outlet portion of the ventricle. We presume that such an aneurysm, however small it is, developing in association with a ventricular septal defect with an infundibular extension may be a potential cause of severe obstruction and should therefore be carefully followed in the ensuing years.

Full text

PDF
189

Images in this article

190Image
on p.190
191Image
on p.191

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aziz K. U., Cole R. B., Paul M. H. Echocardiographic features of supracristal ventricular septal defect with prolapsed aortic valve leaflet. Am J Cardiol. 1979 Apr;43(4):854–859. doi: 10.1016/0002-9149(79)90089-4. [DOI] [PubMed] [Google Scholar]
  2. Canale J. M., Sahn D. J., Valdes-Cruz L. M., Allen H. D., Goldberg S. J., Ovitt T. W. Accuracy of two-dimensional echocardiography in the detection of aneurysms of the ventricular septum. Am Heart J. 1981 Mar;101(3):255–259. doi: 10.1016/0002-8703(81)90186-1. [DOI] [PubMed] [Google Scholar]
  3. Chesler E., Korns M. E., Edwards J. E. Anomalies of the tricuspid valve, including pouches, resembling aneurysms of the membranous ventricular septum. Am J Cardiol. 1968 May;21(5):661–668. doi: 10.1016/0002-9149(68)90263-4. [DOI] [PubMed] [Google Scholar]
  4. DAS S. K., JAHNKE E. J., WALKER W. J. ANEURYSM OF THE MEMBRANOUS SEPTUM WITH INTERVENTRICULAR SEPTAL DEFECT PRODUCING RIGHT VENTRICULAR OUTFLOW OBSTRUCTION. Circulation. 1964 Sep;30:429–433. doi: 10.1161/01.cir.30.3.429. [DOI] [PubMed] [Google Scholar]
  5. Freedom R. M., White R. D., Pieroni D. R., Varghese P. J., Krovetz L. J., Rowe R. D. The natural history of the so-called aneurysm of the membranous ventricular septum in childhood. Circulation. 1974 Feb;49(2):375–384. doi: 10.1161/01.cir.49.2.375. [DOI] [PubMed] [Google Scholar]
  6. PERASALO O., HALONEN P. I., PYORALA K., TELIVUO L. Aneurysm of the membranous ventricular septum causing obstruction of the right ventricular outflow tract in a case of ventricular septal defect. Acta Chir Scand Suppl. 1961;Suppl 283:123–128. [PubMed] [Google Scholar]
  7. Pernot C., Hoeffel J. C., Henry M., Worms A. M., Mentré B., Flizot M. L'anévrysme du septum membraneux. A propos de 20 observations. Coeur Med Interne. 1976 Apr-Jun;15(2):199–213. [PubMed] [Google Scholar]
  8. Soto B., Becker A. E., Moulaert A. J., Lie J. T., Anderson R. H. Classification of ventricular septal defects. Br Heart J. 1980 Mar;43(3):332–343. doi: 10.1136/hrt.43.3.332. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Tandon R., Edwards J. E. Aneurysmlike formations in relation to membranous ventricular septum. Circulation. 1973 May;47(5):1089–1097. doi: 10.1161/01.cir.47.5.1089. [DOI] [PubMed] [Google Scholar]
  10. Varghese P. J., Izukawa T., Celermajer J., Simon A., Rowe R. D. Aneurysm of the membranous ventricular septum. A method of spontaneous closure of small ventricular septal defect. Am J Cardiol. 1969 Oct;24(4):531–536. doi: 10.1016/0002-9149(69)90496-2. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES