Document Detail

Ruptured aneurysm of the sinus of Valsalva. Clinical review, treatment results.
MedLine Citation:
PMID:  7775545     Owner:  NLM     Status:  MEDLINE    
Five patients were operated on because of ruptured aneurysm of the sinus of Valsalva. In the cases with no concomitant VSD the surgical access from the aorta was used. The aorta was opened and the Fogarty catheter was introduced to the fistula. The "wind sock" of the aneurysm was pulled back to the aorta and excised. The opening was closed with double-line pledgetted polypropylene sutures. In severe aortic incompetence mechanical prostheses were implanted. One patient had bacterial endocarditis with reopening of the fistula and aortic valve incompetence that required reoperation. All patients are in a good clinical state. We recommend the use of Dacron patches even in small aneurysms to avoid re-opening of the fistula.
S Woś; M Matuszewski; R Bachowski; W Ceglarek; M Jasiński; W Domaradzki; K Toczek; B Korzeniowska; J Iwiński
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  35     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-07-10     Completed Date:  1995-07-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  219-22     Citation Subset:  IM    
II Department of Cardiac Surgery, Silesian Medical Academy, Katowice, Poland.
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MeSH Terms
Aortic Rupture / diagnosis,  etiology,  surgery*
Aortic Valve Insufficiency / etiology,  surgery
Echocardiography, Transesophageal
Heart Catheterization
Heart Valve Prosthesis
Polyethylene Terephthalates
Prostheses and Implants
Sinus of Valsalva*
Reg. No./Substance:
0/Polyethylene Terephthalates; 0/Polypropylenes

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