AI Article Synopsis
- Aneurysms of the sinus of Valsalva are often congenital and typically rupture into the right atrium or ventricle, leading to significant cardiac symptoms.
- Early detection and surgical intervention can effectively cure this condition, with a study of 28 patients highlighting the use of a combined aortocameral approach and a recommended sandwich patch for repair.
- Overall operative mortality was initially 21.4%, but improved to 11.7% over the last decade, with further discussion on factors contributing to mortality.
Article Abstract
Aneurysms of the sinus of Valsalva are usually congenital in origin. When they rupture, it is generally into the right atrium or the right ventricle. Signs of a left-to-right shunt, aortic runoff, and cardiac decompensation are the cardinal features. Early diagnosis and surgical correction result in cure. We report our experience with 28 patients. In all patients, we used a combined aortocameral approach, and we recommend a sandwich patch for the repair. Aortic valve replacement is needed only in patients with severe degenerative changes. The overall operative mortality was 21.4%, but in the last 10 years, mortality was only 11.7%. The causes of operative and late mortality are discussed.
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| http://dx.doi.org/10.1016/s0003-4975(10)62770-1 | DOI Listing |
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