Diagnosis and surgical treatment of ruptured aneurysm in sinus of Valsalva.
OBJECTIVE
To evaluate the methods used to diagnose and surgically treat ruptured aneurysm in sinus of Valsalva (RASV).


METHODS
Thirty-seven hospitalized patients with ruptured aneurysms in the sinus of Valsalva from September 1981 to April 2001, including 21 cases (56.7%) of RASV associated with ventricular septal defects (VSD) and 11 (29.7%) with aortic valvular prolapse were given surgical interventions. Under hypothermia and extracorporeal circulation, we successfully performed the surgical correction of RASV for all 37 patients VSD repair in 21 patients, aortic valvuloplasty in 6 and aortic valvular replacement in 2.


RESULTS
There was no hospital deaths among these patients, although residual shunting occurred in two patients and acute renal failure was found one. Follow-up study of one month to 20 years in the patients undergoing repair of RASV revealed that the mostly individuals treated with operation obtained satisfactory cardiac function.


CONCLUSIONS
Correct diagnosis of ruptured aneurysm in sinus of Valsalva should be confirmed immediately and surgical correction should be carried out as soon as possible.
Zhao
Gaofeng
G
Department of Cardiovascular Thoracic Surgery, the First Teaching Hospital Zhengzhou University, Zhengzhou 450052, China.
Seng
Jingjing
J
Yan
Baojun
B
Wei
Hongchao
H
Qiao
Chenhui
C
Zhao
Song
S
Zhao
Wenzeng
W
Zhi
Xingyi
X
D000293:Adolescent; D000328:Adult; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis* / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva