eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2021
vol. 18
 
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abstract:
Original paper

Ruptured sinus of Valsalva aneurysms – our surgical experience of 7 years

Abhishek Shrinivas Joshi
1
,
Balaji Dattatray Aironi
1
,
Ninad Sunil Kotkar
1
,
Dwarkanath Vivekanand Kulkarni
1
,
Uday Eknath Jadhav
1
,
Ketak Mahendra Nagare
1

  1. Seth G.S. Medical College and K.E.M. Hospital, Mumbai, India
Kardiochirurgia i Torakochirurgia Polska 2021; 18 (2): 100-104
DOI: https://doi.org/10.5114/kitp.2021.107471
Online publish date: 2021/07/05
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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.

keywords:

sinus, aorta, aneurysm, regurgitation
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