A new operation for ventricular septal defect with aortic incompetence

Two boys, 10 years of age, with ventricular septal defect and severe aortic insufficiency were treated using a new method. An autograft of anterior pu lmonary artery wall and the adjacent leaflet and subpulmonary muscle was ex cised. The excised pulmonary artery segment was used to replace the prolaps ed right coronary cusp, and the autograft muscle was used to close the vent ricular septal defect. The right ventricular outflow tract and pulmonary Va lve were repaired using an autologous pericardial patch with an autologous single cusp. The results in both cases were satisfactory. (Ann Thorac Surg 2001;71:375-7) (C) 2001 by The Society of Thoracic Surgeons.