Surgical treatment of ruptured aneurysms of the sinus of Valsalva.
Ann Thorac Surg
; 41(3): 284-6, 1986 Mar.
Article
em En
| MEDLINE
| ID: mdl-3954500
ABSTRACT
Aneurysms of the sinus of Valsalva are usually congenital in origin. When they rupture, it is generally into the right atrium or the right ventricle. Signs of a left-to-right shunt, aortic runoff, and cardiac decompensation are the cardinal features. Early diagnosis and surgical correction result in cure. We report our experience with 28 patients. In all patients, we used a combined aortocameral approach, and we recommend a sandwich patch for the repair. Aortic valve replacement is needed only in patients with severe degenerative changes. The overall operative mortality was 21.4%, but in the last 10 years, mortality was only 11.7%. The causes of operative and late mortality are discussed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Aórtico
/
Seio Aórtico
Tipo de estudo:
Screening_studies
Limite:
Adolescent
/
Adult
/
Humans
/
Middle aged
Idioma:
En
Revista:
Ann Thorac Surg
Ano de publicação:
1986
Tipo de documento:
Article