Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Feb 15;97(3):E354-E361.
doi: 10.1002/ccd.29216. Epub 2020 Aug 31.

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

Kai Yang  1 , Xiaokang Luo  2 , Yue Tang  2 , Haibo Hu  1 , Hansong Sun  2
Affiliations

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

Kai Yang et al. Catheter Cardiovasc Interv. .

Abstract

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.

Keywords: adults; congential heart disease; structural heart disease intervention; surgery.

PubMed Disclaimer

References

REFERENCES

    1. Goldberg N, Krasnow N. Sinus of Valsalva aneurysms. Clin Cardiol. 1990;13(12):831-836.
    1. Weinreich M, Yu PJ, Trost B. Sinus of valsalva aneurysms: review of the literature and an update on management. Clin Cardiol. 2015;38(3):185-189.
    1. Moustafa S, Mookadam F, Cooper L, et al. Sinus of Valsalva aneurysms: 47 years of a single center experience and systematic overview of published reports. Am J Cardiol. 2007;99(8):1159-1164.
    1. Lillehei CW, Stanley P, Varco RL. Surgical treatment of ruptured aneurysms of the sinus of Valsalva. Ann Surg. 1957;146(3):459-472.
    1. Kuriakose EM, Bhatla P, McElhinney DB. Comparison of reported outcomes with percutaneous versus surgical closure of ruptured sinus of Valsalva aneurysm. Am J Cardiol. 2015;115(3):392-398.

MeSH terms

LinkOut - more resources