HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Dong, C. Articles by Tang, Y. Search for Related Content PubMed PubMed Citation Articles by Dong, C. Articles by Tang, Y. Related Collections Congenital - acyanotic

Ann Thorac Surg 2002;74:1621-1624
© 2002 The Society of Thoracic Surgeons

---

Original article: cardiovascular

Ruptured sinus of valsalva aneurysm: a Beijing experience

^a Department of Surgery, Cardiovascular Institute and Fu Wai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China

Accepted for publication July 2, 2002.

* Address reprint requests to Dr Dong, Department of Surgery, Fu Wai Hospital, 167 North Li-Shi Rd, Beijing 100037, P.R. China.
e-mail: dr_dong_chao{at}yahoo.com.cn

BACKGROUND: Ruptured sinus of Valsalva aneurysm (RSVA) is relatively common in oriental patients. We retrospectively analyzed 67 patients receiving repair of RSVA in a Beijing hospital over 5 years.

METHODS: Between October 1, 1996 and September 30, 2001, at Fu Wai Hospital, 67 patients with RSVA underwent surgical repair, 0.78% of all congenital open-heart operations. Forty-four were male and 23 female. Age ranged from 2 to 57 years old (mean 32 ± 10 years). The RSVA originated in the right (n = 52) or noncoronary (n = 15) sinus. Rupture into the right ventricle was most common (n = 39) with 26 going to the right atrium and two to the left ventricle. Associated cardiovascular lesions were ventricular septal defect (n = 32) and aortic valve incompetence (n = 12). Repair was achieved through an incision in the cardiac chamber of the fistula exit in 61 patients. Aortotomy was used in three patients and both routes were used in three patients. The sinus of Valsalva was repaired with either a patch (n = 63) or direct sutures (n = 4). The aortic valve was replaced in 12 patients.

RESULTS: All but 1 patient (n = 66) survived the 30-day operative interval. One patient died of an anticoagulation complication 2 months after the operation. Late complications included residual shunt (n = 2), peri-prosthetic leakage (n = 1), and aortic incompetence (n = 1).

CONCLUSIONS: In this relatively high-risk population, repair of RSVA can be achieved with satisfactory early results.

This article has been cited by other articles:

				F. Yan, Q. Huo, J. Qiao, V. Murat, and S.-F. Ma Surgery for Sinus of Valsalva Aneurysm: 27-Year Experience with 100 Patients Asian Cardiovasc Thorac Ann, October 1, 2008; 16(5): 361 - 365. [Abstract] [Full Text] [PDF]

				S.-H. Jung, T.-J. Yun, Y.-M. Im, J.-J. Park, H. Song, J.-W. Lee, D.-M. Seo, and M.-S. Lee Ruptured sinus of Valsalva aneurysm: Transaortic repair may cause sinus of Valsalva distortion and aortic regurgitation. J. Thorac. Cardiovasc. Surg., May 1, 2008; 135(5): 1153 - 1158. [Abstract] [Full Text] [PDF]

				F. Guenther, C. von zur Muhlen, J. Lohrmann, C. Bode, and A. Geibel Rupture of an aneurysm of the noncoronary sinus of Valsalva into the right atrium Eur J Echocardiogr, January 1, 2008; 9(1): 186 - 187. [Abstract] [Full Text] [PDF]