Outcome of Surgical Repair of Ruptured Sinus of Valsalva Aneurysm

Abstract

Aneurysm of sinus of valsalva is a rare anomaly. Here, we analyze retrospectively patients operated at PIC during 93 and 98.Sixtecn cases of ruptured aneurysm of sinus of valsalva were operated upon at PIC. The majority arose from the right coronary sinus. The right ventricle was the most common chamber of rupture (62.5%). Ventricle septal defect was associated in 7 patients, of which 5 were supracristal type. The VSD was most common in aneurysm arising from the right coronary sinus 5 cases. Aortic regurgitation was found in 7 patients. In only 2 cases it was severe enough to have aortic valve replacement. The defects were closed through aortic root alone in two patients, while in rest of the cases combine approach was used (aortic root & chamber of rupture were opened). In only two cases aortic valve repair was done. There was no immediate mortality, only one patient died in late follow up. Repair of RSVA through an aortotomy with or without cardiotomy permits inspection of the aortic root complex and facilitate aortic valve repair. Surgery for aneurysm of sinus of valsalva yields gratifying result and it should be as soon as the condition is diagnosed.