[Aneurysm of the sinus of Valsalva. Characteristics apropos of 6 surgically treated cases].
The authors report 6 cases of aneurysm of the sinus of Valsalva. Two cases only presented with the classical aspect of wind-sock ruptured in a cardiac chamber. In these two cases there were associated cardiac malformations. The others were not ruptured and had very peculiar features: heavy calcifications in 2 cases, association to a ventricular septal defect, aortic insufficiency and bacterial endocarditis in 1 case, septal extension with complete heart block and aortic insufficiency in 1 case, association to an annular sub-valvular mitral aneurysm of the left ventricle with mitral insufficiency in 1 case. All patients were operated with cardio-pulmonary by-pass: closure of the orifice of the aneurysm by a trans-aortic approach, aortic valvular replacement (2), aortic valvuloplasty (1), mitral valve replacement (1), left ventricular aneurysm closure (1), pacemaker insertion (1) were done. One patient died in the post-operative period (association with left ventricular aneurysm). The authors discuss different original aspects of these patients: surgical technique, various associations, calcifications, double aneurysm: ventricular and aortic.
D000293:Adolescent; D000328:Adult; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001027:Aortography; D002114:Calcinosis / Q000601:surgery; D002648:Child; D005260:Female; D006322:Heart Aneurysm / Q000151:congenital* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery; D011379:Prognosis
L'anévrysme du sinus de valsalva. Particularités à propos de 6 cas opérés.