TY - JOUR ID - 83589 TI - RUPTURED CONGENITAL ANEURYSM OF THE SINUS OF VALSALVA: A TEN-YEAR EXPERIENCE JO - Iranian Heart Journal JA - IHA LA - en SN - AU - NOORI, M.N AU - MOALEM, M AU - MERAJI, M AU - KALANTAR MOTAMEBI, M.H AU - MOLA SADEGHI ROKABADI, GH.A AD - AD - Tehran - Iran Y1 - 2003 PY - 2003 VL - 4 IS - 3 SP - 34 EP - 37 KW - ANEURYSM OF THE SINUS OF VALSALVA . CONGENITAL HEART DEFECT . CARDIAC SURGERY . AORTA DO - N2 - Background- Ruptured congenital aneurysm of the sinus of valsalva (RASV) is a rare ‎cardiac defect, which without surgical repair usually leads to reduced cardiac ‎performance. We have evaluated an institutional experience with surgical repair and ‎follow- up results of RASV‏.‏‎‎ Methods- A retrospective analysis was carried out in 39 patients with RASV; all but ‎one of them underwent surgical correction over a 10-year period (1990-2000) at our ‎center. The age of the 25 male and 14 female patients ranged from 6 to 56 years ‎‎(mean 27.9 years).This represented 0.76% of all cardiac operations‏.‏‎ ‎ Results- The origin of RASV most commonly was the right coronary sinus, and ‎rupture of the aneurysm most commonly occurred into the right ventricle(32 cases), ‎followed by the right atrium (2), left ventricle (2) and pericardium in one‏.‏‎ ‎ Nine patients (23%) were asymptomatic and the most common clinical findings were ‎heart murmur (continuous), dyspnea and palpitation. The most common associated ‎cardiac defects were aortic insufficiency and ventricular septal defect‏.‏‎ ‎ There was no early (in hospital) and late mortality after a mean follow-up of 45.6 ‎months (1-9 years).‎ ‎‎ Conclusion- Although RASV is a very rare cardiac defect, surgical treatment is safe ‎and has satisfactory results (Iranian Heart Journal 2002, 2003; 3(4) & 4(1): 34-37).‎ UR - http://journal.iha.org.ir/article_83589.html L1 - ER -