A 67-year-old woman developed exertional dyspnea. Echocardiography revealed a subarterial ventricular septum defect (VSD), hypertrophy of the basal septum leading to subvalvular obstruction, severe aortic regurgitation, and an ascending aorta aneurysm (Fig. 1, Videos 1 and 2). Surgical repair consisted of transaortic VSD patch closure, septal myectomy, and separate replacement of the aortic valve and the ascending aorta (Fig. 2).
Declaration of interest
The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.