The cases of aortic incompetence resulted from the perforation of the cusps have been presented more often with the infective endocarditis of the
aortic valve. Not numerous reports indicate the iatrogenic aortic incompetence resulted from injuring the aortic valve during cardiac surgery
interventions. Injuring of the aortic valve by a suture or needle can happen at periaortic cardiac surgery interventions but they have been seldom
reported. Small injuries of the cusps by a suture, perforations by a needle or clamp can cause the further development of the significant aortic
valve incompetence from the hemodynamics point of view. The present report has described the successful valve repair in the condition of
aortic incompetence in a 17 year old girl who at the age of 5 months underwent the plastic operation for the ventricular septal defect during
which the noncoronary cusp of the aortic valve was perforated by a needle. The little aortic regurgitation was diagnosed soon after the first operation
but over the time it was increasing and at the moment of examination in our hospital reached the 3d degree with increasing of the size of
left ventricle. With the use of cardiopulmonary bypass the defect of noncoronary cusp was stitched up and the aortic valve commissures were
made plicate by separate sutures.
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