| Ruptured aneurysms of the sinus of Valsalva. | |
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MedLine Citation:
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PMID: 1840448 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Aneurysms of the sinus of Valsalva are uncommon disorders and are usually congenital in origin. When these aneurysms rupture into an intracardiac chamber, they may be silent initially but later give rise to progressive heart failure due to left or right shunting and aortic regurgitation. The mortality and morbidity in untreated cases is high. We report 13 patients with ruptured aneurysms of the sinus of Valsalva who underwent surgical repair. There were seven males and six females with a mean age of 24.5 years. Three patients were asymptomatic and five were in congestive cardiac failure. The majority of patients (61.5%) had insidious onset of symptoms, only 2 cases presenting acutely. The connection was between the right aortic sinus and the right ventricle in 11 cases and the non coronary sinus and the right ventricle in 2 cases. Associated cardiac anomalies included a ventricular septal defect (8 patients) and aortic regurgitation (6 patients). There was 1 post operative death and 1 patient required re-operation three months later for a recurrence of the fistula. All 6 patients with aortic regurgitation required aortic valve replacement. All patients remained well and asymptomatic during follow up ranging from 2 to 19 years. |
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Authors:
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R Jeyamalar; P Kannan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Medical journal of Malaysia Volume: 46 ISSN: 0300-5283 ISO Abbreviation: Med. J. Malaysia Publication Date: 1991 Dec |
Date Detail:
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Created Date: 1992-10-08 Completed Date: 1992-10-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0361547 Medline TA: Med J Malaysia Country: MALAYSIA |
Other Details:
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Languages: eng Pagination: 371-5 Citation Subset: IM |
Affiliation:
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Dept. of Medicine, University Hospital, Kuala Lumpur. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aortic Aneurysm / surgery* Aortic Rupture / surgery* Female Humans Male Prognosis Sinus of Valsalva* |
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