Document Detail


Dual exposure and repair technique for ruptured aneurysms of aortic sinus of Valsalva.
MedLine Citation:
PMID:  8076959     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirteen patients with ruptured sinus of Valsalva aneurysm have been operated over a 3-1/2 year period. Right coronary sinus was predominantly involved and right ventricle was the most common site of rupture. Early surgery was performed in all cases. Both aorta and chamber of entry were explored for effective repair. Main repair was always done in the chamber of rupture either with a patch or interrupted pledgeted sutures followed by assessment at either end. Subannular ventricular septal defects in three cases were closed with a common patch with additional fixation in the middle at the aortic annulus to prevent aortic leak into the left ventricle. Three patients needed aortic valve replacement for gross aortic incompetence. Postoperative echocardiographic study revealed uniformly excellent results with good aortic valve or prosthetic function. One patient developed fatal pulmonary embolism two weeks following surgery. All other surviving patients are doing well and are in NYHA class I. We recommend dual exposure and repair technique for the repair of ruptured sinus of Valsalva aneurysms for optimal results.
Authors:
R Gupta; S K Khanna; M Akhtar; B K Gupta; M Nigam; A Banerjee; D K Satsangi; R Gondal; R Arora; K K Sethi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  46     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    1994 Jan-Feb
Date Detail:
Created Date:  1994-10-05     Completed Date:  1994-10-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  31-6     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, G B Pant Hospital, New Delhi.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Rupture / pathology,  surgery*
Cardiac Surgical Procedures / methods
Cardiopulmonary Bypass
Female
Humans
Male
Sinus of Valsalva* / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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