title: The long-term outcome of a surgical repair of sinus of valsalva aneurysm.
abstract: BACKGROUND
  In order to clarify the long-term outcome after surgical repair of a sinus of Valsalva aneurysm, we retrospectively assessed the operative results for patients treated in our institute.
  
  
  METHODS
  The subjects were 27 patients who had undergone an operation between 1958 and 1996. For associated aortic regurgitation (AR) aortic valve repair was performed in 13 patients, 12 of whom had a ventricular septal defect (VSD); and an aortic valve replacement was performed in 3 patients, 1 of whom had a VSD.
  
  
  RESULTS
  Five of the 13 patients who had aortic valve repair needed aortic valve replacement because AR developed after a period of between 7 and 13 years; those cases were complicated by VSD. Another 2 patients with mild AR also complicated by VSD are currently under observation.
  
  
  CONCLUSIONS
  Although the postoperative outcome of the aortic valve repairs was good, cases that were complicated by VSD plus associated AR tended to develop AR later after surgery. Therefore, careful observation of the postoperative course is necessary.
authors.affiliation: First Department of Surgery, Osaka University Medical School, Suita City, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Naka
authors.forename: K
authors.initials: K
authors.lastname: Kadoba
authors.forename: S
authors.initials: S
authors.lastname: Ohtake
authors.forename: Y
authors.initials: Y
authors.lastname: Sawa
authors.forename: N
authors.initials: N
authors.lastname: Hirata
authors.forename: M
authors.initials: M
authors.lastname: Nishimura
authors.forename: H
authors.initials: H
authors.lastname: Matuda
mesh_terms: D000293:Adolescent; D000328:Adult; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva; D016896:Treatment Outcome