Perforation of sinus Valsalva 10 years after repair of ventricular septal defect

Matsushita, T.; Masuda, Shinsuke; Inoue, Tomoya; Okawa, Yoshifumi

doi:10.1177/0218492311420540

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our series, there was no bicuspid valve patients and we found that aortic insufficiency was more severe when the Valsalva aneurysm was ruptured into heart cavities (P = 0.05). In this condition asymmetrical deformity of aortic root rupture of SVA and substantial runoff blood flow in the supra-annular region both can cause severe aortic regurgitation in the absence of a VSD or a notable structural defect in the aortic valve (11). However the cause of AI, when coexist with VSD, is the prolapse of aortic cusp into VSD (12).…”

Section: Discussionmentioning

confidence: 99%

Surgical Reconstruction of Valsalva Sinus Aneurysms: One Surgical Team Outcomes from Tertiary Center

Ghavidel¹,

Zargar

Aljadayel

et al. 2022

Multidiscip Cardio Annal

View full text Add to dashboard Cite

Background: There are many surgical methods used to treat sinus of Valsalva aneurysms, and these methods vary depending on the surgical team's expertise and the patient's health, which has an impact on the surgical outcomes. Objectives: In our study, we evaluated the midterm outcomes of a single center's highly skilled surgical team. Methods: In this retrospective cohort study the clinical data of 42 consecutive patients from November 1, 2005 to 21 august 2018 were reviewed and early and mid-term results were assessed. Twenty-two patients (53%) were presented with ruptured aneurysms; 8 of these patients (28.5%) had their aneurysms repaired with a double patch and an AV repair; nonetheless, 20 patients (46.6%) required valve replacement. Results: It was found that there was no bicuspid valve in our patients, no correlation between the presence of VSD and the severity of aortic insufficiency in our series (P = 0.89), and the severity of aortic insufficiency increased when the Valsalva aneurysm ruptured into the heart chambers. There was a strong association between female gender and ruptured sinus of Valsalva aneurysms (P = 0.02, AI severity, P = 0.05, aortic valve surgery, P = 0.03, and total AV replacement, P = 0.001). RSOV and the likelihood of a heart block did not correlate in our series (P = 0. 29). Conclusions: Results from one surgical team, particularly when the same specialist is making decisions, are more trustworthy. Excellent long-term outcomes are obtained, and rupture of the SOV is linked to an increase in AI and, ultimately, to aortic valve surgery, primarily AV replacement. Using patch technique for closing fistulas does not increase the post op arrhythmia.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Reconstruction of Valsalva Sinus Aneurysms: One Surgical Team Outcomes from Tertiary Center

Ghavidel¹,

Zargar

Aljadayel

et al. 2022

Multidiscip Cardio Annal

View full text Add to dashboard Cite

show abstract

“…Therefore, we propose that RSVA patients with VSD should have some distinguishing features. Matsushita et al5 reported a rupture of SVA from the right coronary to the right ventricle in a patient whose VSD had closed 10 years prior. A similar case occurred in our study.…”

mentioning

confidence: 99%

Coexisting ventricular septal defect affects the features of ruptured sinus of Valsalva aneurysms

Jin¹,

Han²,

Wang³

et al. 2017

SMJ

View full text Add to dashboard Cite

Objectives:To determine the correlation exists between ventricular septal defect (VSD) and ruptured sinus of Valsalva aneurysm (RSVA).Methods:Between September 2003 and April 2014, 80 RSVA patients underwent surgical repair. These patients were retrospectively divided into two groups: the VSD group (38 cases) and the non-VSD group (42 cases).Results:Rupture points of SVA originated more frequently in the right coronary sinus (RCS) of patients in the VSD group than those in the non-VSD group (p=0.002). In the VSD group, more than 92.1% tended to rupture into the right ventricular outflow tract. The rupture points are diverse in the non-VSD group. A significant difference was found in rupture points of RSVA between the two groups (p<0.001). Patients in the VSD group presented with aortic valve disease more often than those in the non-VSD group (p<0.001). A total of 67 patients were repaired with a patch at the opening of RSVA; of those, all patients in VSD group and 29 patients in non-VSD group were repaired with a patch. Nine patients in non-VSD group received transcatheter closure of RSVA.Conclusion:The presence or absence of VSD affects the rupture points of SVA, aortic valve disease involved, and therapeutic schedule. Ruptured sinus of Valsalva aneurysm type should be clinically modified on the basis of presence or absence of VSD.

show abstract

Perforation of sinus Valsalva 10 years after repair of ventricular septal defect

Cited by 2 publications

References 0 publications

Surgical Reconstruction of Valsalva Sinus Aneurysms: One Surgical Team Outcomes from Tertiary Center

Surgical Reconstruction of Valsalva Sinus Aneurysms: One Surgical Team Outcomes from Tertiary Center

Coexisting ventricular septal defect affects the features of ruptured sinus of Valsalva aneurysms

Contact Info

Product

Resources

About