Ruptured congenital aneurysm of the sinus of Valsalva: surgical technique and long-term follow-up

Détails

ID Serval
serval:BIB_0144E6CD6859
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Ruptured congenital aneurysm of the sinus of Valsalva: surgical technique and long-term follow-up
Périodique
European Journal of Cardio-Thoracic Surgery
Auteur(s)
Pasic  M., von Segesser  L., Carrel  T., Jenni  R., Turina  M.
ISSN
1010-7940
Statut éditorial
Publié
Date de publication
1992
Peer-reviewed
Oui
Volume
6
Numéro
10
Pages
542-4
Notes
Journal Article
Résumé
Congenital ruptured aneurysm of the sinus of Valsalva is a rare anomaly usually causing decrease of cardiac performance. Eight patients with a ruptured congenital aneurysm of the sinus of Valsalva were operated upon at the University Hospital Zurich between 1970 and 1991. There were four female and four male patients aged from 15 to 48 years (mean, 36 years). Three patients were asymptomatic and five symptomatic. Associated congenital cardiac defects were found in six patients. Surgical techniques consisted of direct suture in seven patients and closure with a Dacron patch in one. A secondary Dacron patch closure was performed on the second postoperative day in a patient with suture insufficiency after direct closure. Associated operations were closure of ventricular septal defect in two patients, aortic valve replacement in two, aortic valve reconstruction in one and aortic valve commissurotomy in one patient. There were no operative deaths. The mean follow-up was 9 years, range 7 months to 17 years. There were two late deaths due to endocarditis and recurrent cerebral embolisation. An operation for a ruptured aneurysm of the sinus of Valsalva has a low operative risk, but patients remain prone to development of late valvular complications.
Mots-clé
Adolescent Adult Aortic Aneurysm/*congenital/radiography/*surgery Aortic Rupture/radiography/*surgery Female Humans Male Middle Aged *Sinus of Valsalva/radiography
Pubmed
Web of science
Création de la notice
14/02/2008 15:19
Dernière modification de la notice
03/03/2018 13:14
Données d'usage