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Related Experiment Videos

Ruptured aneurysms of the sinus Valsalvae.

E W Jansen, I L Nauta, L K Lacquet

    The Thoracic and Cardiovascular Surgeon
    |June 1, 1984
    PubMed
    Summary

    Ruptured sinus of Valsalva aneurysms are rare, often congenital in men. Surgical repair is successful in most cases, but mycotic aneurysms carry a high mortality risk.

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    Area of Science:

    • Cardiology
    • Thoracic Surgery
    • Vascular Surgery

    Background:

    • Ruptured aneurysms of the sinus of Valsalva (RSV) are uncommon cardiovascular emergencies.
    • Congenital aneurysms are more prevalent in younger to middle-aged men.
    • Acquired causes, such as mycotic aneurysms, can occur at any age and are associated with endocarditis.

    Purpose of the Study:

    • To review the hospital's experience with surgically treated cases of ruptured sinus of Valsalva aneurysms.
    • To evaluate the outcomes of different surgical techniques.
    • To highlight the importance of timely surgical intervention, especially in cases of endocarditis.

    Main Methods:

    • Retrospective review of six patients undergoing operative treatment for RSV over 13 years.
    • Surgical techniques included direct closure (4 patients) and Dacron patch closure (2 patients).
    • Analysis of patient demographics, aneurysm etiology, associated conditions, surgical outcomes, and follow-up data.

    Main Results:

    • Five of six patients had ruptured congenital aneurysms; one had a mycotic aneurysm.
    • Endocarditis was frequently observed and appeared linked to aneurysm rupture.
    • Five patients had successful surgical repair; the patient with the mycotic aneurysm died post-operatively due to sepsis.
    • Mean follow-up was 3.5 years.

    Conclusions:

    • Surgical treatment for ruptured sinus of Valsalva aneurysms yields good outcomes.
    • A double surgical approach is recommended.
    • Urgent operative intervention is crucial for patients with acute progressive endocarditis to improve survival rates.

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