Tehran - Iran
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).