Doubly Committed Ventricular Septal Defect with No Aortic Regurgitation

  • Hakimeh Sadeghian
  • Zahra Savand-Roomi


A 25-year-old man presented with palpitation and dyspnea on exertion (functional class II) of recent duration. Physical examination revealed a harsh systolic murmur at the fourth and third left sternal borders. The left ventricle was moderately dilated (64 mm), and there was mild left ventricular systolic dysfunction. Also, there was mild tricuspid regurgitation, and the pulmonary arterial systolic pressure was about 40 mmHg.

Supplementary material

Video 52.1

(MP4 13521 kb)


  1. 2.
    Webb GD, Smallhorn J, Therrien J, Redington AN. Congenital heart disease. In: Bonow RO, Mann D, Zipes DP, Libby P, Breunwald E, editors. Breunwarld heart disease, a text book of cardiovascular medicine. 9th ed. China: Elsevier Saunders; 2012. p. 1411–67.CrossRefGoogle Scholar
  2. 7.
    Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, Deanfield JE, Galie N, et al. ESC guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J. 2010;31(23):2915–57 [Practice Guideline].CrossRefPubMedGoogle Scholar
  3. 76.
    Glehrter S, Ensing G. Ventricular septal defets. In: Eidem BW, Cetta F, O’Leary PW, editors. Echocardiography in pediatric and adult congenital heart disease. 1st ed. Philadelphia: Lippincott Williams and Wilkins; 2010. p. 158–75.Google Scholar
  4. 78.
    Zhu D, Lin K, Tang ML, Feng Y, An Q. Midterm results of hybrid perventricular closure of doubly committed subarterial ventricular septal defects in pediatric patients. J Card Surg. 2014;29(4):546–53.CrossRefPubMedGoogle Scholar
  5. 79.
    Devlin PJ, Russell HM, Monge MC, Patel A, Costello JM, Spicer DE, et al. Doubly committed and juxtaarterial ventricular septal defect: outcomes of the aortic and pulmonary valves. Ann Thorac Surg. 2014;97(6):2134–40. discussion 40-1.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Hakimeh Sadeghian
    • 1
  • Zahra Savand-Roomi
    • 2
  1. 1.Department of EchocardiographyTehran University of Medical Sciences Tehran Heart CentreTehranIran
  2. 2.Department of EchocardiographyKowsar HospitalShirazIran

Personalised recommendations