Paper Information

Journal:   IRANIAN HEART JOURNAL (IHJ)   Winter 2002-Spring 2003 , Volume 4 , Number 3; Page(s) 34 To 37.
 
Paper: 

RUPTURED CONGENITAL ANEURYSM OF THE SINUS OF VALSALVA: A TEN-YEAR EXPERIENCE

 
 
Author(s):  NOORI M.N., MOALEM M., MERAJI M., KALANTAR MOTAMEBI M.H.*, MOLA SADEGHI ROKABADI GH.A.
 
* Tehran - Iran
 
Abstract: 
Background- Ruptured congenital aneurysm of the sinus of valsalva (RASV) is a rare ‎cardiac defect, which without surgical repair usually leads to reduced cardiac ‎performance. We have evaluated an institutional experience with surgical repair and ‎follow- up results of RASV‏.‏‎
‎ Methods- A retrospective analysis was carried out in 39 patients with RASV; all but ‎one of them underwent surgical correction over a 10-year period (1990-2000) at our ‎center. The age of the 25 male and 14 female patients ranged from 6 to 56 years ‎‎(mean 27.9 years).This represented 0.76% of all cardiac operations‏.‏‎
‎ Results- The origin of RASV most commonly was the right coronary sinus, and ‎rupture of the aneurysm most commonly occurred into the right ventricle(32 cases), ‎followed by the right atrium (2), left ventricle (2) and pericardium in one‏.‏‎
‎ Nine patients (23%) were asymptomatic and the most common clinical findings were ‎heart murmur (continuous), dyspnea and palpitation. The most common associated ‎cardiac defects were aortic insufficiency and ventricular septal defect‏.‏‎
‎ There was no early (in hospital) and late mortality after a mean follow-up of 45.6 ‎months (1-9 years).‎ ‎
‎ Conclusion- Although RASV is a very rare cardiac defect, surgical treatment is safe ‎and has satisfactory results (Iranian Heart Journal 2002, 2003; 3(4) & 4(1): 34-37).‎
 
Keyword(s): ANEURYSM OF THE SINUS OF VALSALVA . CONGENITAL HEART DEFECT . CARDIAC SURGERY . AORTA
 
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