PMID- 3190325
OWN - NLM
STAT- MEDLINE
DCOM- 19881206
LR  - 20220419
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 46
IP  - 5
DP  - 1988 Nov
TI  - Surgical repair and long-term results in ruptured sinus of Valsalva aneurysm.
PG  - 520-5
AB  - Thirty-one patients with a ruptured sinus of Valsalva aneurysm (SVA) were 
      operated on between January, 1961, and December, 1987. Twenty-five patients (81%) 
      were in New York Heart Association (NYHA) Functional Class III or IV. Coexistent 
      cardiac anomalies included a ventricular septal defect (VSD) in 16 patients (52%) 
      and aortic valve regurgitation in 12 patients (39%). The ruptured SVA originated 
      from the right coronary sinus in 29 patients (94%) and the noncoronary sinus in 2 
      patients (6%), and drained into the right ventricle in 30 patients (97%). In 6 
      patients treated recently, we used patches to repair the ruptured SVA and VSD 
      through a double approach, thereby avoiding a ventriculotomy. This method 
      resulted in no recurrent rupture or residual VSD postoperatively. There was one 
      operative death (3%) and 4 late deaths (13%). Of the 26 surviving patients, 22 
      (85%) were in NYHA Class I at follow-up ranging from 6 months to 26.7 years 
      (mean, 11.1 years). Actuarial survival at 25 years is 85.6 +/- 7.4% (mean +/- 
      standard deviation). Repair of ruptured SVA with a patch through a double 
      approach provides an excellent operative procedure and offers a long-term 
      outcome.
FAU - Abe, T
AU  - Abe T
AD  - Department of Cardio-Thoracic Surgery, Sapporo Medical College and Hospital, 
      Hokkaido, Japan.
FAU - Komatsu, S
AU  - Komatsu S
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/complications/*surgery
MH  - Aortic Rupture/complications/*surgery
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Heart Septal Defects/complications
MH  - Humans
MH  - Male
MH  - Middle Aged
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)64689-9 [pii]
AID - 10.1016/s0003-4975(10)64689-9 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1988 Nov;46(5):520-5. doi: 10.1016/s0003-4975(10)64689-9.