Ruptured sinus of Valsalva aneurysms – our surgical experience of 7 years
| Autor: | Uday Eknath Jadhav, Dwarkanath Kulkarni, Balaji Aironi, Abhishek Joshi, Ketak Nagare, Ninad Kotkar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Asymptomatic law.invention Aneurysm Windsock law medicine Cardiopulmonary bypass Ventricular outflow tract cardiovascular diseases Internal medicine Coronary sinus Sinus (anatomy) Original Paper business.industry regurgitation medicine.disease RC31-1245 Surgery aorta medicine.anatomical_structure cardiovascular system aneurysm sinus medicine.symptom Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Kardiochirurgia i Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery Polish Journal of Thoracic and Cardiovascular Surgery, Vol 18, Iss 2, Pp 100-104 (2021) |
| ISSN: | 1897-4252 1731-5530 |
| Popis: | Introduction Aneurysms of sinuses of Valsalva are rare aortic anomalies having an incidence of 1.4-4.94% in the Asian population. Spontaneous rupture is the most common complication and ruptured aneurysms usually present with congestive cardiac failure. Aim Our study was aimed at evaluating the clinical profile of patients with ruptured sinus of Valsalva aneurysms (RSOVA) and their distribution, the surgical management and post-operative course. Material and methods We retrospectively identified 21 patients who presented to us with RSOVA over a period of 7 years and underwent surgery for the same. Results RSOVA was more common in young males. Most cases involved the right coronary sinus (RCS) followed by the non-coronary sinus (NCS). The site of rupture was mostly the right ventricular outflow tract or the right atrium. All patients had a relatively asymptomatic post-operative course in the ward. On follow-up, most of the patients were symptom free. Conclusions Surgery on cardiopulmonary bypass with moderate hypothermia with excision of windsock deformity and patching of the rupture site is a safe method of treating ruptured sinus of Valsalva aneurysms. Patients need to be followed up regularly to monitor for the development of aortic regurgitation. |
| Databáze: | OpenAIRE |
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