Original articleCardiovascularSurgical Repair of Sinus of Valsalva Aneurysm in Asian Patients
Section snippets
Patient Profile
During the 18-year period from September 1988 to February 2006, 83 patients (55 males and 28 females) underwent surgical repair for aneurysm of the sinus of Valsalva, which comprised 1.2% of the 6831 open heart operations performed in Shandong Provincial Hospital during this period. The Ethics Committee approved this study and waived the need for individual patient consent.
The mean age of patients at repair was 30.7 ± 12.1 years (range, 3 to 69 years). At the time of admission, 71 patients
Surgical Results of the Present Series
In the present series, there was no hospital mortality. The postoperative hospital length of stay was 14.3 ± 6.4 days before 1997 and 10.8 ± 2.5 days after 1997. The postoperative mechanical ventilation support time was 9.2 ± 4.8 hours. Postoperative complications included skin wound infection in 4 patients, arrhythmia in 4, bleeding in 3 (cardiac tamponade in 1 patient), and 1 patient each with VSD residual shunt, right pneumothorax, and acute left-sided heart failure for severe aortic valve
Comment
Aneurysm of the sinus of Valsalva is a rare congenital heart disease that constitutes about 0.14% to 1.5% of congenital heart repairs [22]. It is uncommonly associated with endocarditis, atherosclerosis, syphilis, or aortic dissection [23]. Because the aortic valve occupies a central position in the base of the heart, an SVA can rupture into any of the four heart chambers, especially into right atrium and right ventricle. Occasionally, it ruptures into the pulmonary artery [24, 25] or
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Risk Factors for Aortic Regurgitation Progression After Repair of Sinus of Valsalva Aneurysm
2022, Heart Lung and CirculationRuptured sinus of Valsalva aneurysm presenting as an idiopathic pericardial effusion
2021, Annales de Cardiologie et d'AngeiologieContained rupture of the non-coronary sinus of Valsalva aneurysm into the right atrium (Sakakibara type IV) treated by surgery
2018, Annales de Cardiologie et d'AngeiologieRupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature
2018, Heart and LungCitation Excerpt :The embryonic basis of sinus of Valsalva aneurysm is related to impaired development of the base of the distal bulbar septum that develops into the right coronary sinus and the adjacent two thirds of the non-coronary sinus,5 which explains the tendency of this condition to occur in these sites. It also explains the frequent association with the presence of ventricular septal defect (VSD) due to the shared embryonic origin as these two conditions coexist 30–50% of the time.11,16,17 Supracristal VSD, which constitutes only 2–3% of all VSDs, is exceedingly more common in Asians as is RSoVA.18
Sinus of Valsalva aneurysms
2018, Diagnosis and Management of Adult Congenital Heart Disease: Third Edition