Sinus of Valsalva Aneurysms—47 Years of a Single Center Experience and Systematic Overview of Published Reports
| Autor: | Kenton J. Zehr, Farouk Mookadam, David R. Holmes, Sherif E. Moustafa, Guleid Adam, Leslie T. Cooper, John M. Stulak |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Aortic valve medicine.medical_specialty Adolescent Heart Diseases Aortic Rupture Minnesota Fistula medicine.medical_treatment Aortic Valve Insufficiency Aortic Diseases Aneurysm Internal medicine medicine Humans Longitudinal Studies Child Survival rate Coronary sinus Aged Retrospective Studies Cardiac catheterization Aged 80 and over Vascular Fistula Surgical repair business.industry Age Factors Retrospective cohort study Middle Aged Sinus of Valsalva medicine.disease Aortic Aneurysm Surgery Survival Rate Treatment Outcome medicine.anatomical_structure Echocardiography Child Preschool cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The American Journal of Cardiology. 99:1159-1164 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/j.amjcard.2006.11.047 |
| Popis: | A retrospective study was undertaken to review demographic data, clinical presentation, outcomes, and long-term results of surgical repair of sinus of Valsalva aneurysms (SVAs). SVAs are a rare anomaly. Surgery is the treatment of choice. A retrospective review of an institutional database identified 86 patients who underwent SVA repair from 1956 to 2003. Follow-up ranged from 3 months to 40 years. The median age was 45 years (range 5 to 80). Approximately 44% of the patients had associated aortic regurgitation. Ruptures occurred in 34% of patients. The predominant fistula was from the right sinus of Valsalva to the right ventricle. Most (65%) were diagnosed by echocardiography, and the remaining (35%) were diagnosed on cardiac catheterization. All subjects underwent SVA repair. Seventy-two patients (84%) underwent other cardiac procedures at the time of aneurysm repair. Six patients (7%) died perioperatively, and the actuarial 10-year survival rate was 63%. In conclusion, echocardiography is the most frequently used diagnostic tool. The most common site of the aneurysm was the right coronary sinus. The concomitant surgical repair of associated ventricular septal defect, atrial septal defect, and the aortic valve is often required. Elective surgical repair can be performed with low risk. |
| Databáze: | OpenAIRE |
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