2004
DOI: 10.1111/j.0886-0440.2004.04022.x
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Abstract: The operation for a ruptured aneurysm of sinus of Valsalva carries a low operative risk and results in excellent long-term survival after surgical treatment.

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Cited by 34 publications
(23 citation statements)
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“…Combined approach carries the advantages of meticulous closure of the fistula; avoidance of distortion of the AV cusps; and infusion of cardioplegia directly into coronary ostia. It also permits inspection of the aortic root complex and facilitates AV repair if required 12,13 . The grade of AR should be estimated on intraoperative TEE after the surgical repair of a SOVA.…”
Section: Discussionmentioning
confidence: 99%
“…Combined approach carries the advantages of meticulous closure of the fistula; avoidance of distortion of the AV cusps; and infusion of cardioplegia directly into coronary ostia. It also permits inspection of the aortic root complex and facilitates AV repair if required 12,13 . The grade of AR should be estimated on intraoperative TEE after the surgical repair of a SOVA.…”
Section: Discussionmentioning
confidence: 99%
“…The surgical experience in closing aorto-cardiac shunts has mainly been in SOVa rupture [3][4][5]. SOVas occur in 0.14-3.5% of all congenital anomalies [10] and ruptures in 40-76% of these patients [11].…”
Section: Discussionmentioning
confidence: 99%
“…Corrective surgery for aortic sinus rupture has been demonstrated to be safe with a mortality of 2% but aortic regurgitation can develop afterwards or the lesion may recur [4]. The right ventricle is the most common location for SOVa rupture [3] and has been observed to have a 24% re-operation rate in a case series of 21 patients with aorto-RV fistulas [5]. Postoperative prognosis is good with a reported 88% 14-year survival rate among a cohort of 55 patients with three repeat surgeries for valve dehiscence [4].…”
Section: Discussionmentioning
confidence: 99%
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“…1 This type of aneurysm is usually congenital, in which instance it results from an absence of muscular and elastic tissue in the aortic wall of the sinus of Valsalva and might be associated with other heart defects. 2 Recent improvements in diagnostic techniques have increased the numbers of patients who undergo surgical repair of SVA. In this report, we recount the repair of a rare unruptured large aneurysm of the right SVA that presented as right ventricular (RV) failure arising from narrowing of the RV outflow tract (RVOT).…”
mentioning
confidence: 99%