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Updated: Aug 14, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Treatment and outcome of sinus of valsalva aneurysm
Feng Li1, Shi Chen, Jiekang Wang
1Shanghai Chest Hospital, Shanghai, China. ciqic@online.sh.ch
Background:
In order to understand the long-term outcome after surgical repair of sinus of Valsalva aneurysms or fistulas (SVAF), the operative results for patients treated at Shanghai Chest Hospital were retrospectively assessed.
Methods:
Between 1960 and 1999, 216 patients were operated on for SVAF. Of these 143 (66.2%) had a ventricular septal defect (VSD), 60 (28.0%) had aortic regurgitation and of these 12 underwent aortic valve replacement (AVR).
Results:
There were eight in-hospital deaths (3.7%). Another patient had aortic regurgitation postoperatively requiring AVR.
Conclusion:
Resection and repair of SVAF entails an acceptably low operative risk and yields long-term freedom from symptoms. Early, aggressive operation is recommended to prevent development of complications.
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