PMID- 3190324
OWN - NLM
STAT- MEDLINE
DCOM- 19881206
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 46
IP  - 5
DP  - 1988 Nov
TI  - 15- to 30-year follow-up of patients undergoing repair of ruptured congenital 
      aneurysms of the sinus of Valsalva.
PG  - 515-9
AB  - Rupture of a congenital aneurysm of the sinus of Valsalva is a rare congenital 
      cardiac malformation. Between 1956 and 1971, we operated on 14 patients aged 9 to 
      36 years (median, 20 years) for repair of a ruptured aneurysm of the sinus of 
      Valsalva, and have followed each patient to the present. Two operative and 4 late 
      deaths occurred, 3 following a second cardiac operation and the other from 
      dysrhythmia. Late complications have included development of complete heart block 
      in 2 patients (necessitating permanent pacemaker insertion 11 and 24 years after 
      initial repair), progression of aortic regurgitation in 2 (necessitating valve 
      replacement 9 and 13 years after initial repair), and endocarditis in 1 patient 
      20 years after repair. Four of the 8 remaining long-term survivors (followed for 
      15 to 30 years [mean, 23.6 years]) are in New York Heart Association (NYHA) Class 
      I, and the other 4 are in NYHA Class II. Three of the 5 patients with suture 
      closure (no pledgets or adjacent ventricular septal defect repair) of the 
      ruptured aneurysm of the sinus of Valsalva sustained recurrent rupture and 
      required repeat closure. Whether the lack of prosthetic material to bolster the 
      repair or inadequate resection of redundant aneurysmal fibrous tissue was 
      responsible for these recurrences cannot be stated. Operative management of 
      patients with ruptured congenital aneurysms of the sinus of Valsalva is 
      discussed.
FAU - Barragry, T P
AU  - Barragry TP
AD  - Department of Surgery, University of Minnesota, Minneapolis.
FAU - Ring, W S
AU  - Ring WS
FAU - Moller, J H
AU  - Moller JH
FAU - Lillehei, C W
AU  - Lillehei CW
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aortic Aneurysm/congenital/mortality/*surgery
MH  - Aortic Rupture/mortality/*surgery
MH  - Child
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Sinus of Valsalva/*surgery
EDAT- 1988/11/01 00:00
MHDA- 1988/11/01 00:01
CRDT- 1988/11/01 00:00
PHST- 1988/11/01 00:00 [pubmed]
PHST- 1988/11/01 00:01 [medline]
PHST- 1988/11/01 00:00 [entrez]
AID - S0003-4975(10)64688-7 [pii]
AID - 10.1016/s0003-4975(10)64688-7 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1988 Nov;46(5):515-9. doi: 10.1016/s0003-4975(10)64688-7.