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1 results

  • Surgical treatment of ruptured aneurysm of the sinus of Valsalva

  • Guo Jia Qiang, Zhu Xiao Dong, Xie Gan Xing, Cao Jian Xiang, Xiao Ming Di, Shen Zhong Lin, Wu Qing Yu, Li Zheng Guo, Shi Cheng Wei, Shang Hua
  • Journal:
    Cardiology in the Young / Volume 4 / Issue 4 / October 1994
    Published online by Cambridge University Press:
    19 August 2008, pp. 347-352

  • 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.