Document Detail


Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports.
MedLine Citation:
PMID:  17437748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective study was undertaken to review demographic data, clinical presentation, outcomes, and long-term results of surgical repair of sinus of Valsalva aneurysms (SVAs). SVAs are a rare anomaly. Surgery is the treatment of choice. A retrospective review of an institutional database identified 86 patients who underwent SVA repair from 1956 to 2003. Follow-up ranged from 3 months to 40 years. The median age was 45 years (range 5 to 80). Approximately 44% of the patients had associated aortic regurgitation. Ruptures occurred in 34% of patients. The predominant fistula was from the right sinus of Valsalva to the right ventricle. Most (65%) were diagnosed by echocardiography, and the remaining (35%) were diagnosed on cardiac catheterization. All subjects underwent SVA repair. Seventy-two patients (84%) underwent other cardiac procedures at the time of aneurysm repair. Six patients (7%) died perioperatively, and the actuarial 10-year survival rate was 63%. In conclusion, echocardiography is the most frequently used diagnostic tool. The most common site of the aneurysm was the right coronary sinus. The concomitant surgical repair of associated ventricular septal defect, atrial septal defect, and the aortic valve is often required. Elective surgical repair can be performed with low risk.
Authors:
Sherif Moustafa; Farouk Mookadam; Leslie Cooper; Guleid Adam; Kenton Zehr; John Stulak; David Holmes
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2007-02-28
Journal Detail:
Title:  The American journal of cardiology     Volume:  99     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-17     Completed Date:  2007-06-05     Revised Date:  2007-11-27    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1159-64     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aortic Aneurysm / epidemiology*
Aortic Diseases / epidemiology
Aortic Rupture / epidemiology
Aortic Valve Insufficiency / epidemiology
Child
Child, Preschool
Echocardiography / statistics & numerical data
Female
Follow-Up Studies
Heart Diseases / epidemiology
Humans
Longitudinal Studies
Male
Middle Aged
Minnesota / epidemiology
Retrospective Studies
Sinus of Valsalva / pathology*
Survival Rate
Treatment Outcome
Vascular Fistula / epidemiology
Comments/Corrections
Comment In:
Am J Cardiol. 2007 Oct 15;100(8):1328   [PMID:  17920381 ]

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