Approach to sinus of Valsalva aneurysms: a review of 53 cases

Vural, Kerem M.; Şener, Erol; Taşdemi̇r, Oğuz; Bayazıt, Kemal

doi:10.1016/s1010-7940(01)00758-8

Cited by 134 publications

(112 citation statements)

References 19 publications

Supporting

Mentioning

106

Contrasting

Unclassified

Order By: Relevance

“…In most of the patients diagnosis is generally made in the third decade and out of them 51-88% are males. [6][7][8] In present study the mean age of presentation was 30.2 years and 75% were males. The natural history of RSOV is difficult to determine due to rarity of these lesions.…”

Section: Discussionmentioning

confidence: 44%

Management of the ruptured sinus of valsalva aneurysmsa

et al. 2017

View full text Add to dashboard Cite

Background: RSOV is associated with a dramatic onset of symptoms to a state of biventricular failure due to sudden volume overload. Controversies exist about RSOV repairs among various centers are the surgical approach (chamber involved, transaortic or both) and the closure technique (primary/ patch closure). There have been no clinical trials to show that one technique is superior to other. In the present study, we reviewed our 16 years’ experience with repair of RSOV through exclusive transaortic approach.Methods: 40 patients underwent RSOV repair through transaortic approach from January 2000 to December 2016. The mean age was 30.2 years. The origin of RSOV was right coronary sinus in 75% of cases and non-coronary sinus in 22.5% of cases. There was one giant calcified unruptured aneurysm arising from right coronary sinus. Right ventricle was most common chamber of rupture comprising 96.67% cases. All patients underwent transaortic repair of RSOV using dacron patch. VSD repair was done in 25% cases. Aortic valve replacement was done in 62.5% cases for moderate to severe AR.Results: There were 7.5% in hospital deaths with no late deaths. Inotropic and ventilatory support required for 3±1.6 days and 1.8±1.2 days respectively. The mean ICU stay and hospital stay was 3.5±1.6 days and 7.5±2.5 days respectively. None of the patient required permanent pacemaker implantation. The 37 survivors were followed up for 6.4±3.6 years; all had an improvement in functional NYHA class with superior results in those with no aortic regurgitation. 7.5% patients developed mild AR during follow up which medical management was done.Conclusions: Surgical treatment of ruptured sinus of Valsalva aneurysm using the transaortic patch technique has an acceptably low operative risk, lesser distortion of aortic valve and good long-term symptom-freedom survival. An early aggressive approach is recommended to prevent worsening of symptoms and more extensive disease.

show abstract

Section: Discussionmentioning

confidence: 44%

Management of the ruptured sinus of valsalva aneurysmsa

et al. 2017

View full text Add to dashboard Cite

show abstract

“…SVA is a rare condition that was first reported by Thurnam in 1840 [1,5]. Besides the congenital forms, there are those acquired in relation to atherosclerosis, media-necrosis, syphilis, endocarditis, trauma but also tuberculosis [6].…”

Section: Discussionmentioning

confidence: 99%

“…The left coronary sinus is very rarely involved. The published series show predominance in the right anterior sinus [1,3,5]. The unruptured aneurysm is asymptomatic in the absence of aortic regurgitation.…”

Section: Discussionmentioning

confidence: 99%

Left Valsalva Sinus Aneurysm on Infection Tuberculous

Sylla¹,

Sarr²,

Fatou³

et al. 2017

J Clin Exp Cardiolog

View full text Add to dashboard Cite

“…In our patient, it might be attributable to a congenital weakness at the junction of the aortic media and annulus fibrosis. Indeed, device traction on the NCS has been hypothesized to cause aortic regurgitation following TCC of ASD [4], although this has been debated [5].…”

Section: Discussionmentioning

confidence: 99%

“…Vural et al [5] described a detailed approach to SOVA, based on the clinical picture and the echocardiographic findings. In asymptomatic cases, surgery is indicated if the size of the aneurysm is larger than 50% of the average size of the other two normal Valsalva sinuses or is increasing in consecutive ECG examinations.…”

Section: Discussionmentioning

confidence: 99%

Is the Sac Waiting to Rupture? Sinus of Valsalva Aneurysm

Phatarpekar

Phadke

Lanjewar

et al. 2016

Aorta

View full text Add to dashboard Cite

Completely asymptomatic sinus of Valsalva aneurysms are rare entities, and there is no consensus regarding their management. We present the case of a patient who underwent atrial septal defect device closure at 5 years of age and was lost to follow-up, then presented 6 years later with unruptured sinus of Valsalva aneurysm and was closely followed. The aneurysm eventually ruptured and was successfully operated on with good outcomes.

show abstract

Approach to sinus of Valsalva aneurysms: a review of 53 cases

Abstract: Repair of SVA can be performed with an acceptably low operative risk and a good symptom-free long-term outcome expectation. Echocardiography provides all the necessary details for diagnosis. Dual exposure/patch repair strategy is advocated in the ruptured cases.

Cited by 134 publications

References 19 publications

Management of the ruptured sinus of valsalva aneurysmsa

Management of the ruptured sinus of valsalva aneurysmsa

Left Valsalva Sinus Aneurysm on Infection Tuberculous

Is the Sac Waiting to Rupture? Sinus of Valsalva Aneurysm

Contact Info

Product

Resources

About