Perforation of sinus Valsalva 10 years after repair of ventricular septal defect.

A 60-year-old woman who underwent ventricular septal defect (VSD) closure, mitral valve repair, and tricuspid annuloplasty 10 years earlier, presented with congestive heart failure. Her previous postoperative echocardiogram demonstrated a residual VSD leak and moderate mitral regurgitation. Transesophageal echocardiography (Figure 1) showed moderate mitral… (More)