|
|
||||||||
Ann Thorac Surg 1986;42:81-85
© 1986 The Society of Thoracic Surgeons
From the Departments of Cardiac Surgery and Cardiology, University of Heidelberg, Federal Republic of Germany
Accepted for publication November 16, 1985.
* Address reprint requests to Dr. Mayer, Pfuehlstrasse 69, 7100 Heilbronn, Federal Republic of Germany
From 1964 to 1984, 10 male and 5 female patients with ruptured aneurysms of the sinus of Valsalva (ASVs) underwent surgical correction. These procedures constituted 0.23% of the 6,350 surgical procedures that used cardiopulmonary bypass during this period. Five patients had an inflammatory condition (bacterial endocarditis, 4; syphilis, 1), and 1 had an ASV relapse 5 years after her first operation. Coexistent lesions included aortic valve regurgitation in 5 patients, ventricular septal defect in 3 (1 of whom had mitral insufficiency), patent foramen ovale in 2, and atrial septal defect in 1. Ninety-three percent were symptomatic (sudden onset of symptoms, 5 patients; gradual onset, 9 patients), commonly with shortness of breath, fatigability, chest pain, and tachycardia. The following connections occurred: noncoronary sinus to right atrium (RA) (5 patients); right coronary sinus (RCS) to RA (5 patients); and RCS to right ventricle (5 patients). There were no early or late postoperative deaths. One patient underwent reoperation after an ASV relapse. The mean follow-up period (± standard deviation) was 7.9 years (range, 10 months to 20.1 years). Eighty percent of the patients were found to be in New York Heart Association class I, and 20% were in class II. Apart from ASV relapse, late complications are determined by prosthetic valve dysfunction or evidence of valve disease. Early surgical intervention is justified in patients with ruptured ASV.
This article has been cited by other articles:
![]() |
E. T. D. Hoey, A. Kanagasingam, and M. U. Sivananthan Sinus of Valsalva Aneurysms: Assessment With Cardiovascular MRI Am. J. Roentgenol., June 1, 2010; 194(6): W495 - W504. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. O. Bricker, B. Avutu, T.-L. H. Mohammed, E. E. Williamson, I. S. Syed, P. R. Julsrud, P. Schoenhagen, and J. Kirsch Valsalva Sinus Aneurysms: Findings at CT and MR Imaging RadioGraphics, January 1, 2010; 30(1): 99 - 110. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. K. Neema, M. Sethuraman, S. R. Krishnamanohar, and R. C. Rathod Severe hypotension and overflowing of venous reservoir at the initiation of cardiopulmonary bypass in a patient undergoing repair of ruptured sinus of Valsalva aneurysm: management issues Interact CardioVasc Thorac Surg, August 1, 2006; 5(4): 448 - 450. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Patel and P. L. Bailey Sinus of Valsalva Aneurysm and Ventricular Tachycardia During Pulmonary Artery Catheterization Anesth. Analg., February 1, 2006; 102(2): 369 - 371. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Murashita, T. Kubota, Y. Kamikubo, N. Shiiya, and K. Yasuda Long-term results of aortic valve regurgitation after repair of ruptured sinus of valsalva aneurysm Ann. Thorac. Surg., May 1, 2002; 73(5): 1466 - 1471. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. S. Ring Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of valsalva aneurysm, and aortic dissection Ann. Thorac. Surg., April 1, 2000; 69(4): S147 - S163. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. J. Takach, G. J. Reul, J. M. Duncan, D. A. Cooley, J. J. Livesay, D. A. Ott, and O.H. Frazier Sinus of valsalva aneurysm or fistula: management and outcome Ann. Thorac. Surg., November 1, 1999; 68(5): 1573 - 1577. [Abstract] [Full Text] [PDF] |
||||
![]() |
M.-D. Munk, M. A. Gatzoulis, D. E. L. King, and G. D. Webb Cardiac tamponade and death from intrapericardial of sinus of Valsalva aneurysm Eur J Cardiothorac Surg, January 1, 1999; 15(1): 100 - 102. [Abstract] [Full Text] [PDF] |
||||
![]() |
W.-K. Au, S.-W. Chiu, C.-K. Mok, W.-T. Lee, D. Cheung, and G.-W. He Repair of ruptured sinus of valsalva aneurysm: Determinants of long-term survival Ann. Thorac. Surg., November 1, 1998; 66(5): 1604 - 1610. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. K. Choudhary, A. Bhan, S. C. B. Reddy, R. Sharma, V. Murari, B. Airan, A. S. Kumar, and P. Venugopal Aneurysm of Sinus of Valsalva Dissecting Into Interventricular Septum Ann. Thorac. Surg., March 1, 1998; 65(3): 735 - 740. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. A. Pigula, B. P. Griffith, and R. L. Kormos Massive Sinus of Valsalva Aneurysm Presenting With Coronary Insufficiency Ann. Thorac. Surg., November 1, 1997; 64(5): 1475 - 1476. [Abstract] [Full Text] |
||||
![]() |
T.-L. Wang, J.-L. Lin, S.-S. Wang, H.-M. Ma, J.-J. Hwang, and W.-P. Lien TRAUMATIC AORTOPULMONARY COMMUNICATION: CLINICOPATHOLOGIC CORRELATION J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 1136 - 1139. [Full Text] |
||||
![]() |
M. Z. Tahir, M. Rustom, and Khalid Al Ebrahim Left Coronary Sinus of Valsalva Aneurysm: an Extremely Rare Malformation: A Case Report Angiology, August 1, 1995; 46(8): 753 - 758. [Abstract] [PDF] |
||||
![]() |
I. A. Hamid, M. Jothi, S. Rajan, J. L. Monro, and K. M. Cherian Transaortic repair of ruptured aneurysm of sinus of Valsalva Fifteen-year expererience J. Thorac. Cardiovasc. Surg., June 1, 1994; 107(6): 1464 - 1468. [Abstract] [Full Text] |
||||
![]() |
W. L. Holman Sinus of Valsalva aneurysms and application of surgical science to their repair Ann. Thorac. Surg., February 1, 1993; 55(2): 545 - 550. [Abstract] [PDF] |
||||
![]() |
T. Abe and S. Komatsu Surgical Repair and Long-term Results in Ruptured Sinus of Valsalva Aneurysm Ann. Thorac. Surg., November 1, 1988; 46(5): 520 - 525. [Abstract] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |