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. 2021 Apr;36(4):1264-1269.
doi: 10.1111/jocs.15358. Epub 2021 Jan 21.

Surgical repair of ruptured sinus of Valsalva aneurysm: 13-year single center experience

Vivek Jaswal  1 , Vikas Kumar  1 , Shyam K S Thingnam  1 , Goverdhan D Puri  2
Affiliations

Surgical repair of ruptured sinus of Valsalva aneurysm: 13-year single center experience

Vivek Jaswal et al. J Card Surg. 2021 Apr.

Abstract

Background and aim: Untreated ruptured sinus of Valsalva aneurysms ultimately develop into heart failure, thereby affecting patients' survival. We retrospectively analyzed our 13-year experience of the surgical repair for ruptured sinus of Valsalva aneurysm to study the optimal surgical strategy, operative risk and long-term surgical outcome.

Methods: Twenty-six patients underwent surgical repair of ruptured sinus of Valsalva aneurysm from January 2008 to February 2020. Follow-up data were obtained from the outpatient department records and telephone calls.

Results: Patch closure of ruptured sinus of Valsalva aneurysm was done in all the 26 patients, most often through the transaortic (69%) and dual-chamber approach (23%). Aortic valve repair was done in one patient while seven patients underwent aortic valve replacement for associated significant aortic regurgitation. There was one in-hospital mortality because of noncardiac cause. The median duration of postoperative hospital stay was 8 days (range, 6-11 days). Follow-up data were available for 89% (23/26) patients. The mean follow-up period was 69 ± 43 months (range, 7-147 months). All survivors were in New York Heart Association functional Class I or II. There was no late death. One patient required rehospitalization for recurrent ruptured sinus of Valsalva aneurysm. There was no recurrent or new-onset significant aortic regurgitation and prosthesis-related complications in late follow-up.

Conclusion: Surgical repair for ruptured sinus of Valsalva aneurysm carries an acceptable low operative risk and excellent long-term outcome. Though high-risk population, an early diagnosis and optimal surgical approach can prevent worsening of symptoms and consequent heart failure.

Keywords: outcome; ruptured aneurysm; sinus of Valsalva; surgery.

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References

REFERENCES

    1. Edwards JE, Burchell HB. The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. Thorax. 1957;12:125-139.
    1. Ishizaka N, Sohmiya K, Miyamura M, et al. Infected aortic aneurysm and inflammatory aortic aneurysm-in search of an optimal differential diagnosis. J Cardiol. 2012;59:123-131.
    1. Lin CY, Hong GJ, Lee KC, Tsai YT, Tsai CS. Ruptured congenital sinus of Valsalva aneurysms. J Card Surg. 2004;19:99-102.
    1. Ring WS. Congenital Heart Surgery Nomenclature and Database Project: aortic aneurysm, sinus of Valsalva aneurysm, and aortic dissection. Ann Thorac Surg. 2000;69:S147-S163.
    1. Lisowski P, Hirnie T, Adamczuk A, et al. Rupture of the sinus of Valsalva aneurysm complicated by infective endocarditis-diagnosis difficulties. Kardiol Pol. 2006;64:77-79.

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