Treatment and outcome of sinus of valsalva aneurysm

Li, Feng; Shi, Chao; Wang, Jiekang; Zhou, Yunquian

doi:10.1046/j.1444-2892.2002.00125.x

Cited by 16 publications

(18 citation statements)

References 16 publications

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“…A ventricular septal defect is the most common coexisting cardiac anomaly and occurs in 30% to 50% of ruptured SVA patients 12–14 . Asian patients have a higher incidence of ventricular septal defect.…”

Section: Discussionmentioning

confidence: 99%

Surgical Correction for Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Stenosis

Guo

Xiong

et al. 2011

Journal of Cardiac Surgery

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Section: Discussionmentioning

confidence: 99%

Surgical Correction for Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Stenosis

Guo

Xiong

et al. 2011

Journal of Cardiac Surgery

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“…An early, aggressive approach is recommended to prevent the progression of symptoms. If the fistula is small, it can be repaired by direct closure, but a prosthetic patch closure is recommended 7 . Although the approach in each case should be individualized, the combined approach is currently most favored.…”

Section: Discussionmentioning

confidence: 99%

Persistent sinus venosus valve in association with congenital sinus of Valsalva aneurysm fistula

Doğan

Uçar

Özsoy

et al. 2009

Pediatrics International

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“…18 Primary closure of RSOV has potential disadvantages like deforming the aortic sinus, interrupting aortic competence and suture line stress leading to recurrence. Recurrence of RSOV and worsening of AR has been reported after primary closure.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrence of RSOV and worsening of AR has been reported after primary closure. 5,8,10,18 Patch closure of RSOV is recommended (60.3%±26.4%) of cases in reviewed reports) as it avoids deformity of the aortic valve and reduces the stress on the suture line. 5,7,19,20 In our series, we have performed patch closure to repair RSOV with good postoperative results.…”

Section: Discussionmentioning

confidence: 99%

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.

show abstract

Treatment and outcome of sinus of valsalva aneurysm

Cited by 16 publications

References 16 publications

Surgical Correction for Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Stenosis

Surgical Correction for Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Stenosis

Persistent sinus venosus valve in association with congenital sinus of Valsalva aneurysm fistula

Management of the ruptured sinus of valsalva aneurysmsa

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