All issues > Volume 30(7); 1987

Original Article

J Korean Pediatr Soc. 1987;30(7):742-748. Published online July 31, 1987.

Ventnricular Septal Defect with Septal Aneurysm.

Hae Woon Chang¹, Chul Woo Ku¹, Sang Bum Lee¹, Doo Hong Ahn¹

¹Department of Pediatrics, College of Medicine, Kyung Pook National University, Taegu, Korea

Abstract

Clinical and hemodynamic data were evaluated and analyzed in 31 cases of ventricular septal defect with septal aneurysm which were confirmed by 2-D echocardiography and left ventriculography at Kyungpook National University Hospital during the period of one year from June, 1985 to June, 1986 Septal aneurysms were found in 31 (41.9%) of 74 cases of total VSD (30 cases in membranous VSD and one case in A-V canal type VSD) and in 54.5% among membranous VSD. The youngest age when septal aneurysm was detected was 15 months. The incidence was highest in VSD patients over 10 years of age without any significant difference in incidence between male and female. There were 10 cases (32.3%) of ventricular hypertrophy with EKG, 1 case (3.2%) of cardiomegaly and 3 cases (9.7%) of increased pulmonary vascularity with chest X-ray. Qp/Qs in cases with septal aneurysm was significantly smaller than in those cases without septal aneurysm (p<0.05) and there was decrease in Qp/Qs (p<0.01) and Pp/Ps (p<0.05) without any significant difference in Rp/Rs by increasing age. The detection rate of the septal aneurysm by 2-D echocardiography was 91.3% in comparison with the previous golden standard study, left ventriculography.

Keywords :Septal aneurysm; VSD.