Surgical repair of a ruptured congenital sinus of Valsalva aneurysm: 10-year experience with 286 cases

Luo, Xin-lan; Zhang, Dong; Li, Bo; Qi, Lei; Gong, Lan; Tang, Yue; Sun, Hao

doi:10.1093/ejcts/ezy437

Cited by 20 publications

(41 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recently published article, Luo et al demonstrated that routine aortotomy for simple ruptured SVAs has been remained a controversial issue, and the variable approaches such as aortotomy, right atriotomy, and pulmonary arteriotomy could be viable options. 19 The important finding in this study is that patients with low-grade preoperative AR (grade I or II; those with no preoperative AR were excluded) who underwent AVP had a tendency to develop significant postoperative AR, but freedom from significant AR did not differ statistically. Another impressive result is that patients with grade II preoperative AR who underwent AVP had a tendency to develop significant postoperative AR, but their freedom from significant AR did not differ statistically from that of patients who did not undergo AVP.…”

Section: Discussionmentioning

confidence: 68%

Surgical Repair of a Sinus of Valsalva Aneurysm: A 22-Year Single-Center Experience

Lee

Yang

Park

et al. 2019

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Background Several reports described the repair of sinus of Valsalva aneurysms (SVAs); however, there is still debate regarding the optimal method of operation. We investigated the determinants of the development of significant aortic regurgitation (AR) and long-term survival after surgical repair. Methods Between January 1995 and December 2016, 71 patients (31 females; median age: 33.3 years) underwent surgical SVA repair with (n = 60) or without (n = 11) rupture. Aortic valvuloplasty (AVP) was performed using Trusler's technique in 28 patients (39.4%), and 11 patients (15.5%) underwent aortic valve replacement during the first operation. Results There was no early mortality, and three deaths occurred during follow-up (median: 65.4 months). Patients with grade II preoperative AR who underwent AVP tended to develop significant postoperative AR, but freedom from significant AR did not differ statistically (p = 0.387). Among patients who underwent AVP, freedom from significant AR did not differ statistically between those with grades I and II and those with grades III and IV (p = 0.460). Conclusion Surgical repair of SVA with or without rupture can be performed safely using the dual approach technique. Concomitant aortic valve repair can be performed without difficulty and should be recommended not only for patients with moderate or severe preoperative AR (grades III and IV) but also for those with minimal or mild preoperative AR (grades I and II), whose aortic valve geometry needs correction.

show abstract

Section: Discussionmentioning

confidence: 68%

Surgical Repair of a Sinus of Valsalva Aneurysm: A 22-Year Single-Center Experience

Lee

Yang

Park

et al. 2019

Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Congenital defects may play a role in aortic tissue elasticity. Endocarditis, atherosclerosis, and trauma may also cause SVA less frequently [ 4 , 5 ] . SVA commonly originates from right and non-coronary sinus (99%).…”

Section: Discussionmentioning

confidence: 99%

“…Its occurrence in the left sinus is very infrequent. In a study with Asian population, from 286 ruptured patients included, two cases (0,7%) were reported as left SVA, and another study in our country showed three left SVA cases in 53 patients without myocardial ischemia [ 4 , 5 ] . In this case, we present a left SVA which compress LMCA, LAD, and Cx.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Management of Left Sinus of Valsalva Aneurysm Presenting with Exertional Chest Pain

Gürbüz

İşcan

Gokalp

et al. 2020

Braz J Cardiovasc Surg

View full text Add to dashboard Cite

Left sinus of Valsalva aneurysm (SVA) is a very infrequent clinical entity. Valsalva aneurysms are often asymptomatic in right and non-coronary sinuses and the diagnosis is often incidental. A left SVA which presents with exertional chest pain due to compression of left coronary system arteries is extremely rare. In this case, we present a successful surgical repair of left SVA without aortic regurgitation or myocardial infarction in a 59-year-old male patient.

show abstract

“…The surgical procedure was performed under cardiopulmonary bypass with moderate hypothermia. After the aorta was cross‐clamped, the ruptured SVA fistula was exposed through the relative cardiac chamber incisions as reported before 13 . The sinuses of Valsalva were under carefully inspection.…”

Section: Methodsmentioning

confidence: 99%

Comparison of clinical results between percutaneous closure and surgical repair of ruptured sinus of Valsalva aneurysm

Yang

Luo

Tang

et al. 2020

Cathet Cardio Intervent

Self Cite

View full text Add to dashboard Cite

Objectives This study was conducted to investigate whether percutaneous closure of ruptured sinus of Valsalva aneurysm (SVA) is as safe and effective as surgery repair. Background Percutaneous closure of ruptured SVA has been becoming an alternative to the traditional surgical repair recently. The reports regarding direct comparison of these two treatment options are scarce. Methods The medical records from the institutional database were retrospectively analyzed. A total of 134 patients were reviewed, including 26 patients undergoing percutaneous closure and 108 patients being treated surgically. To reduce the potential bias, 32 patients from Surgical Repair group were selected by propensity score matching. Results All the ruptured SVAs were successfully closed in each group. No severe procedure‐related complications were found in the perioperative period. After matching, there were no significant differences in the baseline clinical characteristics. The median postoperative hospital stays of Matched group were significantly longer than that of Percutaneous Closure group (7 days vs. 1 day, p < .001). Aortic regurgitation, residual shunt and recurrence of SVAs were common complications in both Percutaneous Closure group and Surgical Repair group. Conclusions The appropriately selected patients with ruptured SVA could be treated by percutaneous closure with an acceptable risk of short‐term complications. Though surgical repair remains the main treatment option for ruptured SVAs, percutaneous closure could be considered in patients with a small‐size rupture and no associated cardiac abnormalities.

show abstract

Surgical repair of a ruptured congenital sinus of Valsalva aneurysm: 10-year experience with 286 cases

Cited by 20 publications

References 22 publications

Surgical Repair of a Sinus of Valsalva Aneurysm: A 22-Year Single-Center Experience

Surgical Repair of a Sinus of Valsalva Aneurysm: A 22-Year Single-Center Experience

Surgical Management of Left Sinus of Valsalva Aneurysm Presenting with Exertional Chest Pain

Comparison of clinical results between percutaneous closure and surgical repair of ruptured sinus of Valsalva aneurysm

Contact Info

Product

Resources

About