title: [Long-term results of surgical repair of ruptured sinus of aortic sinus aneurysm].
abstract: OBJECTIVE
  To summarize the clinic characteristics and effect of surgical repair of ruptured aortic sinus aneurysm.
  
  
  METHODS
  From September 1997 to September 2007, 43 patients with ruptured aortic sinus aneurysm underwent surgical procedures. There were 32 male and 11 female patients. The age ranged from 11 to 50 years old with a mean of (29.0 +/- 11.5) years old. The origins of rupture were the right coronary sinus in 34 patients and the noncoronary sinus in 9 patients. The aneurysms ruptured into the right ventricle in 30 patients, the right atrium in 8 patients, the right ventricle and right atrium in 3 patients, and the ventricular septum and then the right ventricle in 2 patients. Associated cardiac anomalies included ventricular septal defect in 26 patients, aortic regurgitation in 15 patients, infectious endocarditis in 8 patients, tricuspid regurgitation in 6 patients, atrial septum defect in 4 patients, mitral valve regurgitation in 2 patients, patent ductus arteriosus in 2 patients, and pulmonary valve vegetation in 1 patient. All the patients underwent the repair of ruptured aortic sinus aneurysm and correction of associated anomalies with cardiopulmonary bypass.
  
  
  RESULTS
  There were no deaths after the operation and during the follow-up. The complications, including acute heart failure and III atrioventricular block, occurred in 5 patients. Follow-up was 6 to 120 months with a mean of (68.0 +/- 17.7) months. Two patients underwent reoperation for aortic valve replacement at the 6(th) and 8(th) year after the first operation. There were 2 patients which the aortic regurgitation deteriorated from grade I to II.
  
  
  CONCLUSIONS
  Repair of ruptured aortic sinus aneurysm presents a satisfactory result. Aggressive treatment in early time, prevention of post-operative complications and long-term follow-up are recommended in the treatment for patients of ruptured aortic sinus aneurysm with infectious endocarditis and aortic regurgitation.
authors.affiliation: Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. dongran6618@hotmail.com
authors.forename: Ran
authors.initials: R
authors.lastname: Dong
authors.forename: Bao-tian
authors.initials: BT
authors.lastname: Chen
authors.forename: Xu
authors.initials: X
authors.lastname: Meng
authors.forename: Tao-shuai
authors.initials: TS
authors.lastname: Liu
authors.forename: Yue
authors.initials: Y
authors.lastname: Song
authors.forename: Ju-bing
authors.initials: JB
authors.lastname: Zheng
authors.forename: Yi-hua
authors.initials: YH
authors.lastname: He
mesh_terms: D000293:Adolescent; D000328:Adult; D001019:Aortic Rupture / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012850:Sinus of Valsalva / Q000601:surgery; D016896:Treatment Outcome