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Ann Thorac Surg 2000;70:727-729
© 2000 The Society of Thoracic Surgeons


Original articles: cardiovascular

The long-term outcome of a surgical repair of sinus of Valsalva aneurysm

Yoshihisa Naka, MDa, Keishi Kadoba, MDa, Shigeaki Ohtake, MDa, Yoshiki Sawa, MDa, Nobuaki Hirata, MDa, Motonobu Nishimura, MDa, Hikaru Matuda, MDa

a First Department of Surgery, Osaka University Medical School, Osaka, Japan

Address reprint requests to Dr Matuda, First Department of Surgery, Osaka University Medical School, 2–2 Yamadaoka, Suita City, Osaka 565–0871 Japan

Background. In order to clarify the long-term outcome after surgical repair of a sinus of Valsalva aneurysm, we retrospectively assessed the operative results for patients treated in our institute.

Methods. The subjects were 27 patients who had undergone an operation between 1958 and 1996. For associated aortic regurgitation (AR) aortic valve repair was performed in 13 patients, 12 of whom had a ventricular septal defect (VSD); and an aortic valve replacement was performed in 3 patients, 1 of whom had a VSD.

Results. Five of the 13 patients who had aortic valve repair needed aortic valve replacement because AR developed after a period of between 7 and 13 years; those cases were complicated by VSD. Another 2 patients with mild AR also complicated by VSD are currently under observation.

Conclusions. Although the postoperative outcome of the aortic valve repairs was good, cases that were complicated by VSD plus associated AR tended to develop AR later after surgery. Therefore, careful observation of the postoperative course is necessary.




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