Skip to main content Accessibility help
×
Home
Hostname: page-component-56f9d74cfd-fpcrz Total loading time: 0.44 Render date: 2022-06-27T16:06:12.706Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

Surgical treatment of ruptured aneurysm of the sinus of Valsalva

Published online by Cambridge University Press:  19 August 2008

Guo Jia Qiang*
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Zhu Xiao Dong
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Xie Gan Xing
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Cao Jian Xiang
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Xiao Ming Di
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Shen Zhong Lin
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Wu Qing Yu
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Li Zheng Guo
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Shi Cheng Wei
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
Shang Hua
Affiliation:
From the Departments of Cardiac Surgery and Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing
*
Dr. Guo Jia Qiang Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences, Beilishi Road, Beijing 100037, Peoples Republic of China.

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.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Kirklin, JW, Barratt-Boyes, BG. Cardiac Surgery. New York, John Wiley & Sons, 1986, p 674.Google Scholar
2.Okada, M, Muranka, S, Mukubo, M, Asada, S. Surgical correction of the ruptured aneurysm of the sinus of Valsalva. J Cardiovasc Surg 1977; 18: 171180.Google ScholarPubMed
3.Chu, SH, Hung, CR, How, SS. Ruptured aneurysms of the sinus of Valsalva in Oriental patients. J Thorac Cardiovasc Surg 1990; 99: 288298.Google ScholarPubMed
4.Sawyer, JT, Adams, JE, Scott, HW. Surgical treatment for aneurysms of aortic sinus with aorricoatrial fistula. Surgery 1957; 41: 2642.Google Scholar
5.Liu, HY, Chen, KQ. The analysis and appraisal of M-mode and 2-Dimensional echocardiography in the diagnosis of ruptured aneurysms of the sinus of Valsalva. J Chinese Cardiovasc Dis 1986; 14: 327329.Google Scholar
6.Pan, C, Tsao, CH, Chen, C, Liu, CF. Surgical treatment of ruptured aneurysms of the aortic sinuses. Ann Thorac Surg 1981; 32: 162166.Google Scholar
7.Tanabe, T, Yokota, A, Sugie, S. Surgical treatment of aneurysm of the sinus of Valsalva. Ann Thorac Surg 1979; 27: 133136.CrossRefGoogle Scholar
8.Sakiyalak, P. Sahasakul, Y, Chaithiraphan, S. Ruptured aneurysm of the sinus of Valsalva; report of 28 cases. J Med Assoc Thailand 1986; 69: 294300.Google Scholar
9.Verghese, M, Jairaj, PS, Babuthaman, C. Surgical treatment of ruptured aneurysm of the sinus of Valsalva. Ann Thorac Surg 1986; 41: 284286.CrossRefGoogle Scholar
10.Edwards, JE, Burchell, HB. The pathological anatomy of deficiencies between the aortic root and the heart including aortic sinus aneurysms. Thorax 1957; 12: 125139.CrossRefGoogle ScholarPubMed
11.Shumacker, HB JrKing, H, Waldhausen, JA. Transaortic approach for the repair of ruptured aneurysms of the sinuses of Valsalva. Ann Surg 1965; 161: 946954.CrossRefGoogle ScholarPubMed
12.Trusler, GA, Moes, CAF, Kidd, BSL. Repair of ventricular septal defect with aortic insufficiency. J Thorac Cardiovasc Surg 1973; 66: 394403.Google ScholarPubMed
4
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Surgical treatment of ruptured aneurysm of the sinus of Valsalva
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Surgical treatment of ruptured aneurysm of the sinus of Valsalva
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Surgical treatment of ruptured aneurysm of the sinus of Valsalva
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *