Surgical closure of ruptured sinus of Valsalva aneurysm: early follow-up results_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QIYujuan , WUZhenhua , HULiya , JIANGNan ,  LIPeijun

Department of ICU, Tianjin Chest Hospital, Tianjin, 300051, P.R.China;

Corresponding author：

LIPeijun, Email: peijunli66@163.com

Keywords：

Ruptured sinus of Valsalva aneurysm; surgical intervention; follow-up

DOI：

10.7507/1007-4848.201603012

Video：

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Objective To present early follow-up results of surgical closure of ruptured sinus of Valsalva aneurysm (RSVA). Methods We retrospectively analyzed the clinical data of 32 patients with RSVA or combined with RSVA in our hospital between January 2010 and December 2014. There were 20 males, 12 females aged 37.6±11.2 years. All the patients were surgically corrected under cardiopulmonary bypass. Results The mean cardiopulmonary bypass time was 79±18 min and the mean aortic cross-clamp time was 53±9 min. Except that 1 patient had the first degree A-V block and 2 patients with delayed wound healing, there was no other complication in the early postoperative period. One patient with surgically corrected RSVA was with infective endocarditis after 3 months follow-up. Most patients were with better New York Heart Association (NYHA) functional classⅠor Ⅱat the end of the follow-up. Conclusion Surgical closure of RSVA is a safe and effective alternative to surgery with early follow-up results.

Citation： QIYujuan, WUZhenhua, HULiya, JIANGNan, LIPeijun. Surgical closure of ruptured sinus of Valsalva aneurysm: early follow-up results. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(2): 118-121. doi: 10.7507/1007-4848.201603012 Copy

1.	Moustafa S, Mookadam F, Cooper L, et al. Sinus of valsalva aneurysms-47 years of a single center experience and systematic overview of published reports. Am J Cardiol, 2007, 99(8): 1159-1164.
2.	Encarnacion CO, Loranger AM, Bharatkumar AG, et al. Bacterial endocarditis caused by lactobacillus acidophilus leading to rupture of sinus of Valsalva aneurysm. Tex Heart Inst J, 2016, 43(2): 161-164.
3.	熊鹿, 龚倩, 刘云兵. 主动脉瓣脱垂伴感染性心内膜炎并乏氏窦瘤破裂1例. 西南国防医药, 2014, 24(12): 1424.
4.	Inafuku H, Kuniyoshi Y, Yamashiro S, et al. Unruptured, isolated giant aneurysm of the sinus of valsalva resulting from medial mucoid degeneration. Ann Thorac Cardiovasc Surg, 2009, 15(3): 203-205.
5.	Cheng A, Thomas J, Vermilion RP, et al. Right ventricular outflow tract obstruction after sinus of valsalva aneurysm repair. J Card Surg, 2014, 29(3): 317-319.
6.	何小红, 左思阳. 评估超声心动图对瓦氏窦瘤破裂的诊断价值. 甘肃科技, 2015, 31(14): 149-150.
7.	Morais H, Sousa-Uva M, Martins T, et al. Rupture of right sinus of valsalva aneurysm into right cardiac chambers: the role of different imaging modalities. J Cardiovasc Ultrasound, 2016, 24(1): 84-86.
8.	DeMaria AN, Blanchard DG. Echocardiography. In: Fuster V, Walsh RA, Harrington RA, eds. Hurst’s the Heart Manual of Cardiology. 13th ed. New York, NY: McGraw-Hill, 2011.
9.	Bricker AO, Avutu B, Mohammed TL, et al. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics, 2010, 30(1): 99-110.
10.	Giambruno V, Cucchietti C, Pisano C, et al. Alternative surgical approach to repairing a giant sinus of Valsalva aneurysm. Tex Heart Inst J, 2016, 43(1): 43-44.
11.	Murli L, Shah P, Sekar P, et al. Unruptured sinus of valsalva aneurysm obstructing the left ventricular outflow tract: an uncommon presentation in childhood. Ann Thorac Surg, 2016, 101(1): e21-e23.
12.	Chen F, Li SH, Qin YW, et al. Transcatheter closure of giant ruptured sinus of valsalva aneurysm. Circulation, 2013, 128(1): e1-e3.
13.	Yan F, Huo Q, Qian J, et al. Surgery for sinus of valsalva aneurysm: 27-year experience with 100 patients. Asian Cardiovasc Thorac Ann, 2008, 16(5): 361-365.
14.	Sarikaya S, Adademir T, Elibol A, et al. Surgery for ruptured sinus of valsalva aneurysm: 25 year experience with 55 patients. Eur J Cardioyhoracic Surg, 2013, 43(3): 591-596.
15.	Weinreich M, Yu PJ, Trost B. Sinus of valsalva aneurysms: review of the literature and an update on management. Clin Cardiol, 2015, 38(3): 185-189.
16.	Liu S, Xu X, Ding X, et al. Comparison of immediate results and mid-term follow-up of surgical and percutaneous closure of ruptured sinus of Valsalva aneurysm. J Cardiol, 2014, 63(3): 239-243.

1. Moustafa S, Mookadam F, Cooper L, et al. Sinus of valsalva aneurysms-47 years of a single center experience and systematic overview of published reports. Am J Cardiol, 2007, 99(8): 1159-1164.
2. Encarnacion CO, Loranger AM, Bharatkumar AG, et al. Bacterial endocarditis caused by lactobacillus acidophilus leading to rupture of sinus of Valsalva aneurysm. Tex Heart Inst J, 2016, 43(2): 161-164.
3. 熊鹿, 龚倩, 刘云兵. 主动脉瓣脱垂伴感染性心内膜炎并乏氏窦瘤破裂1例. 西南国防医药, 2014, 24(12): 1424.
4. Inafuku H, Kuniyoshi Y, Yamashiro S, et al. Unruptured, isolated giant aneurysm of the sinus of valsalva resulting from medial mucoid degeneration. Ann Thorac Cardiovasc Surg, 2009, 15(3): 203-205.
5. Cheng A, Thomas J, Vermilion RP, et al. Right ventricular outflow tract obstruction after sinus of valsalva aneurysm repair. J Card Surg, 2014, 29(3): 317-319.
6. 何小红, 左思阳. 评估超声心动图对瓦氏窦瘤破裂的诊断价值. 甘肃科技, 2015, 31(14): 149-150.
7. Morais H, Sousa-Uva M, Martins T, et al. Rupture of right sinus of valsalva aneurysm into right cardiac chambers: the role of different imaging modalities. J Cardiovasc Ultrasound, 2016, 24(1): 84-86.
8. DeMaria AN, Blanchard DG. Echocardiography. In: Fuster V, Walsh RA, Harrington RA, eds. Hurst’s the Heart Manual of Cardiology. 13th ed. New York, NY: McGraw-Hill, 2011.
9. Bricker AO, Avutu B, Mohammed TL, et al. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics, 2010, 30(1): 99-110.
10. Giambruno V, Cucchietti C, Pisano C, et al. Alternative surgical approach to repairing a giant sinus of Valsalva aneurysm. Tex Heart Inst J, 2016, 43(1): 43-44.
11. Murli L, Shah P, Sekar P, et al. Unruptured sinus of valsalva aneurysm obstructing the left ventricular outflow tract: an uncommon presentation in childhood. Ann Thorac Surg, 2016, 101(1): e21-e23.
12. Chen F, Li SH, Qin YW, et al. Transcatheter closure of giant ruptured sinus of valsalva aneurysm. Circulation, 2013, 128(1): e1-e3.
13. Yan F, Huo Q, Qian J, et al. Surgery for sinus of valsalva aneurysm: 27-year experience with 100 patients. Asian Cardiovasc Thorac Ann, 2008, 16(5): 361-365.
14. Sarikaya S, Adademir T, Elibol A, et al. Surgery for ruptured sinus of valsalva aneurysm: 25 year experience with 55 patients. Eur J Cardioyhoracic Surg, 2013, 43(3): 591-596.
15. Weinreich M, Yu PJ, Trost B. Sinus of valsalva aneurysms: review of the literature and an update on management. Clin Cardiol, 2015, 38(3): 185-189.
16. Liu S, Xu X, Ding X, et al. Comparison of immediate results and mid-term follow-up of surgical and percutaneous closure of ruptured sinus of Valsalva aneurysm. J Cardiol, 2014, 63(3): 239-243.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Surgical closure of ruptured sinus of Valsalva aneurysm: early follow-up results

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