TY - JOUR
T1 - Ruptured sinus of Valsalva aneurysm
T2 - Early recurrence and fate of the aortic valve
AU - Azakie, Anthony
AU - David, Tirone E.
AU - Peniston, Charles M.
AU - Rao, Vivek
AU - Williams, William G.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2000
Y1 - 2000
N2 - Background. We reviewed our experience with congenital ruptured sinus of Valsalva aneurysms (RSVA) to determine patterns of early recurrence and the fate of the aortic valve (AV). Methods. Over a 28-year period, RSVA was identified in 34 patients, (mean age 31.6 years). Primary closure of the RSVA was performed in 10 patients, and a patch employed in 24. Aortic insufficiency was present in 24 patients. AV replacement (AVR) was performed in 5 patients; AV repair in 6. Results. Follow-up of 9.2 ± 8.3 years (6 months to 24 years) was complete in all but 2 patients. Five early fistula recurrences (in 4 patients) correlated with primary rather than patch closure (p < 0.03). Kaplan-Meier survival at 10 years is 90 ± 7%. Freedom from reoperative AVR at 10 years is 83 ± 9%. Late AVR was performed in 6 patients for progressive aortic insufficiency due to bicuspid valve (n = 3), cusp disease of affected sinus (n = 2), or aortic root dilatation (n = 2). Conclusions. Patch closure of the RSVA should be routinely employed. A bicuspid valve may be associated with the late need for AVR. (C) 2000 by The Society of Thoracic Surgeons.
AB - Background. We reviewed our experience with congenital ruptured sinus of Valsalva aneurysms (RSVA) to determine patterns of early recurrence and the fate of the aortic valve (AV). Methods. Over a 28-year period, RSVA was identified in 34 patients, (mean age 31.6 years). Primary closure of the RSVA was performed in 10 patients, and a patch employed in 24. Aortic insufficiency was present in 24 patients. AV replacement (AVR) was performed in 5 patients; AV repair in 6. Results. Follow-up of 9.2 ± 8.3 years (6 months to 24 years) was complete in all but 2 patients. Five early fistula recurrences (in 4 patients) correlated with primary rather than patch closure (p < 0.03). Kaplan-Meier survival at 10 years is 90 ± 7%. Freedom from reoperative AVR at 10 years is 83 ± 9%. Late AVR was performed in 6 patients for progressive aortic insufficiency due to bicuspid valve (n = 3), cusp disease of affected sinus (n = 2), or aortic root dilatation (n = 2). Conclusions. Patch closure of the RSVA should be routinely employed. A bicuspid valve may be associated with the late need for AVR. (C) 2000 by The Society of Thoracic Surgeons.
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U2 - 10.1016/S0003-4975(00)01734-3
DO - 10.1016/S0003-4975(00)01734-3
M3 - Article
C2 - 11093471
AN - SCOPUS:0033756183
SN - 0003-4975
VL - 70
SP - 1466
EP - 1470
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 5
ER -