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Surgical treatment of ruptured aneurysm of the sinus of Valsalva

  • Guo Jia Qiang (a1), Zhu Xiao Dong (a1), Xie Gan Xing (a1), Cao Jian Xiang (a1), Xiao Ming Di (a1), Shen Zhong Lin (a1), Wu Qing Yu (a1), Li Zheng Guo (a1), Shi Cheng Wei (a1) and Shang Hua (a1)...

Summary

This study reviews the results of the surgical management of 154 cases of ruptured aneurysm of the sinus of Valsalva. Of the patients0 73% were male, with an average age of 28 years. An associated ventricular septal defect was found in 40% and 23% had aortic valvar regurgitation. The aneurysms originated from the right coronary sinus in 79% and from the non-coronary sinus in the remainders. The aneurysms ruptured into the right ventricle in 73%, into the right atrium in 27% and into the left ventricle in less than 1%. Operative mortality was 4.5%. Long-term follow-up was achieved in 80% of patients, with a mean duration of 5.7 years and a range from two months to 29 years. Preoperative aortic regurgitation and preoperative functional class (NYHA III or IV) were both predictive of a worse long-term outcome. The optimal surgical approach was closure of the distal end of the fistula by direct suture together with reinforcement of the aortic sinus with a Dacron patch.

Copyright

Corresponding author

Dr. Guo Jia Qiang Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences, Beilishi Road, Beijing 100037, Peoples Republic of China.

References

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Keywords

Surgical treatment of ruptured aneurysm of the sinus of Valsalva

  • Guo Jia Qiang (a1), Zhu Xiao Dong (a1), Xie Gan Xing (a1), Cao Jian Xiang (a1), Xiao Ming Di (a1), Shen Zhong Lin (a1), Wu Qing Yu (a1), Li Zheng Guo (a1), Shi Cheng Wei (a1) and Shang Hua (a1)...

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