Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of valsalva aneurysm, and aortic dissection

Ring, W. Steves

doi:10.1016/s0003-4975(99)01242-4

Cited by 113 publications

(75 citation statements)

References 45 publications

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“…3,4,8 Most frequently it is congenital in origin due to either a congenital absence of continuity between the aortic media and the annulus fibrosus, or a developmental structural defect in the aortic annulus itself which can gradually give way under aortic pressure to form an aneurysm. The aneurysm can rupture into a low pressure cardiac chamber.…”

Section: Discussionmentioning

confidence: 99%

“…1 It commonly originates in the right coronary sinus followed by non-coronary sinus and ruptures into the right ventricle followed by right atrium, which is similar to our experience. [3][4][5] The left coronary cusp does not usually arise from the bulbar septum as do the right and noncoronary cusps, thus explaining the rarity of ruptured left sinus of Valsalva aneurysm. In most of the patients diagnosis is generally made in the third decade and out of them 51-88% are males.…”

Section: Discussionmentioning

confidence: 99%

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Management of the ruptured sinus of valsalva aneurysmsa

et al. 2017

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of the ruptured sinus of valsalva aneurysmsa

et al. 2017

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“…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%

“…Sinus of Valsalva Aneurysm (SVA) is a localized dilatation of the aortic wall, forming a sacral ectasia, located just above the aortic cusps between the valve and the sino-tubular junction [1][2][3]. It is a rare condition that is congenital or acquired and whose frequency is less than 1% according to the literature [1].…”

Section: Introductionmentioning

confidence: 99%

Left Valsalva Sinus Aneurysm on Infection Tuberculous

Sylla¹,

Sarr²,

Fatou³

et al. 2017

J Clin Exp Cardiolog

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“…Sinus of valsalva aneurysm (SVA) is defined as the enlargement of one or more of the aortic sinuses between the aortic valve annulus and the sinotubular junction [1]. Focal expansions which form the walls of the aortic root are called the sinuses of Valsalva from which the left and the right coronary arteries arise from the respective coronary sinuses [2,3].…”

Section: Introductionmentioning

confidence: 99%

Rupture of Sinus of Valsalva Aneurysm (Type V Sakakibara Type) Treated by the Amplatzer Pda Occluder Device

Yadav¹,

Buxi²,

Jayamma³

et al. 2015

Arc Cas Rep CMed

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Rupture of sinus of valsalva aneurysm is a rare anomaly. It is classified based on the site of rupture. The rarest type is an aneurysm rupturing into the left atrium, left ventricle, or pulmonary artery. The surgery is considered to the treatment of choice in most of the cases where as trans-catheter treatment by the vascular occluder devices is an effective alternative method of treatment. We report the rarest variety of Sakakibara type V aneurysm treated by percutaneous transcatheter Amplatzer PDA occluder device with no post-procedural complication.

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Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of valsalva aneurysm, and aortic dissection

Cited by 113 publications

References 45 publications

Management of the ruptured sinus of valsalva aneurysmsa

Management of the ruptured sinus of valsalva aneurysmsa

Left Valsalva Sinus Aneurysm on Infection Tuberculous

Rupture of Sinus of Valsalva Aneurysm (Type V Sakakibara Type) Treated by the Amplatzer Pda Occluder Device

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