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Surgical treatment of ruptured aneurysm of the sinus of Valsalva

Published online by Cambridge University Press:  19 August 2008

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  and
Shang Hua
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.
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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.

Keywords

Sinus of Valsalva aneurysmrupturesurgical management
Type
Original Articles
Information
Cardiology in the Young , Volume 4 , Issue 4 , October 1994 , pp. 347 - 352
Copyright
Copyright © Cambridge University Press 1994

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