Late recurrent rupture of a sinus of Valsalva aneurysm
Sinus of Valsalva aneurysms are rare and usually of congenital origin. Their exact incidence is unknown due to their tendency to remain asymptomatic until the time of rupture. Both primary closure and patch repair of the defect are used depending on the characteristic of the lesion. Hospital mortali...
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| Published in: | The American journal of cardiology Vol. 63; no. 11; pp. 761 - 762 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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New York, NY
Elsevier Inc
15-03-1989
Elsevier |
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| Abstract | Sinus of Valsalva aneurysms are rare and usually of congenital origin. Their exact incidence is unknown due to their tendency to remain asymptomatic until the time of rupture. Both primary closure and patch repair of the defect are used depending on the characteristic of the lesion. Hospital mortality has ranged from 0 to 5% in recent series,
1–3 and most patients return to normal health after recovery from surgery. Recorded instances of recurrent fistula formation are unusual.
1,4 Most are reported to occur in the immediate postoperative period or several years after surgery. The mean follow-up in most series is ≤ 10 years.
3,4–6 We report a case of fistula recurrence 30 years after initial repair. |
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| AbstractList | Sinus of Valsalva aneurysms are rare and usually of congenital origin. Their exact incidence is unknown due to their tendency to remain asymptomatic until the time of rupture. Both primary closure and patch repair of the defect are used depending on the characteristic of the lesion. Hospital mortality has ranged from 0 to 5% in recent series,
1–3 and most patients return to normal health after recovery from surgery. Recorded instances of recurrent fistula formation are unusual.
1,4 Most are reported to occur in the immediate postoperative period or several years after surgery. The mean follow-up in most series is ≤ 10 years.
3,4–6 We report a case of fistula recurrence 30 years after initial repair. |
| Author | Hemp, James R. Woodworth, Gary R. Young, J.Nilas Harrell, James E. |
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| Cites_doi | 10.1016/S0003-4975(10)61024-7 10.1016/S0003-4975(10)64149-5 10.1016/0002-9149(69)90065-4 10.1016/S0022-5223(19)43076-6 10.1097/00000658-195709000-00014 10.1016/S0003-4975(10)61842-5 10.1016/S0003-4975(10)62770-1 10.1161/01.CIR.16.4.533 |
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| Copyright | 1989 1989 INIST-CNRS |
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| Keywords | Human Recurrence Corrective surgery Aortocoronary Congenital Malformation Coronary artery Cardiovascular disease Fistula Long term |
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| PublicationYear | 1989 |
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| References | Verghese, Jairaj, Babuthaman, Sukumar, John (BIB9) 1986; 41 Morrow, Baker, Hanson, Mattingly (BIB7) 1957; 16 Nowicki, Aberdeen, Friedman, Rashkind (BIB10) 1977; 23 Abe, Sugiki, Asai, Inaoka, Matsuzaki, Yanagiya, Tsukamoto, Nakanishi, Takagi, Komatsu (BIB1) 1986; 34 DeBakey, Diethrich, Liddicoat, Kinard, Garrett (BIB5) 1967; 54 Mayer, Ruffman, Saggau, Butzmann, Bernhardt-Mayer, Schatton, Schmitz (BIB3) 1986; 42 Pan-Chih, Ching-Heng, Chen-Chun, Cheih-Fu (BIB6) 1981; 32 Kirklin, Barratt-Boyes (BIB2) 1986 Lillehei, Stanley, Varco (BIB8) 1957; 146 Taguchi, Sasaki, Matsura, Uemura (BIB4) 1969; 23 Nowicki (10.1016/0002-9149(89)90271-3_BIB10) 1977; 23 DeBakey (10.1016/0002-9149(89)90271-3_BIB5) 1967; 54 Abe (10.1016/0002-9149(89)90271-3_BIB1) 1986; 34 Verghese (10.1016/0002-9149(89)90271-3_BIB9) 1986; 41 Morrow (10.1016/0002-9149(89)90271-3_BIB7) 1957; 16 Pan-Chih (10.1016/0002-9149(89)90271-3_BIB6) 1981; 32 Kirklin (10.1016/0002-9149(89)90271-3_BIB2) 1986 Mayer (10.1016/0002-9149(89)90271-3_BIB3) 1986; 42 Lillehei (10.1016/0002-9149(89)90271-3_BIB8) 1957; 146 Taguchi (10.1016/0002-9149(89)90271-3_BIB4) 1969; 23 |
| References_xml | – volume: 16 start-page: 533 year: 1957 end-page: 538 ident: BIB7 article-title: Successful surgical repair of a ruptured aneurysm of the sinus of Valsalva publication-title: Circulation contributor: fullname: Mattingly – volume: 146 start-page: 459 year: 1957 end-page: 472 ident: BIB8 article-title: Surgical treatment of ruptured aneurysms of the sinus of Valsalva publication-title: Ann Surg contributor: fullname: Varco – volume: 41 start-page: 284 year: 1986 end-page: 286 ident: BIB9 article-title: Surgical treatment of ruptured aneurysms of the sinus of Valsalva publication-title: Ann Thorac Surg contributor: fullname: John – start-page: 665 year: 1986 end-page: 677 ident: BIB2 article-title: Congenital aneurysms of the sinus Valsalva publication-title: Cardiac Surgery contributor: fullname: Barratt-Boyes – volume: 42 start-page: 81 year: 1986 end-page: 85 ident: BIB3 article-title: Ruptured aneurysms of the sinus of Valsalva publication-title: Ann Thorac Surg contributor: fullname: Schmitz – volume: 54 start-page: 312 year: 1967 end-page: 332 ident: BIB5 article-title: Abnormalities of the sinuses of Valsalva. Experience with 35 patients publication-title: J Thorac Cardiovasc Surg contributor: fullname: Garrett – volume: 32 start-page: 162 year: 1981 end-page: 166 ident: BIB6 article-title: Surgical treatment of the ruptured aneurysm of the aortic sinuses publication-title: Ann Thorac Surg contributor: fullname: Cheih-Fu – volume: 23 start-page: 180 year: 1969 end-page: 190 ident: BIB4 article-title: Surgical correction of aneurysm of the sinus of Valsalva. A report of forty-five consecutive patients including eight with total replacement of the aortic valve publication-title: Am J Cardiol contributor: fullname: Uemura – volume: 23 start-page: 378 year: 1977 end-page: 388 ident: BIB10 article-title: Congenital left aortic sinus-left ventricle fistula and review of aortocardiac fistulas publication-title: Ann Thorac Surg contributor: fullname: Rashkind – volume: 34 start-page: 180 year: 1986 end-page: 186 ident: BIB1 article-title: Surgical repair and long-term followup of ruptured sinus of Valsalva aneurysms in 29 cases publication-title: Nippon Kyobu Geka Gakkai Zasshi contributor: fullname: Komatsu – volume: 32 start-page: 162 year: 1981 ident: 10.1016/0002-9149(89)90271-3_BIB6 article-title: Surgical treatment of the ruptured aneurysm of the aortic sinuses publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)61024-7 contributor: fullname: Pan-Chih – volume: 23 start-page: 378 year: 1977 ident: 10.1016/0002-9149(89)90271-3_BIB10 article-title: Congenital left aortic sinus-left ventricle fistula and review of aortocardiac fistulas publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)64149-5 contributor: fullname: Nowicki – volume: 23 start-page: 180 year: 1969 ident: 10.1016/0002-9149(89)90271-3_BIB4 article-title: Surgical correction of aneurysm of the sinus of Valsalva. A report of forty-five consecutive patients including eight with total replacement of the aortic valve publication-title: Am J Cardiol doi: 10.1016/0002-9149(69)90065-4 contributor: fullname: Taguchi – volume: 54 start-page: 312 year: 1967 ident: 10.1016/0002-9149(89)90271-3_BIB5 article-title: Abnormalities of the sinuses of Valsalva. Experience with 35 patients publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)43076-6 contributor: fullname: DeBakey – volume: 146 start-page: 459 year: 1957 ident: 10.1016/0002-9149(89)90271-3_BIB8 article-title: Surgical treatment of ruptured aneurysms of the sinus of Valsalva publication-title: Ann Surg doi: 10.1097/00000658-195709000-00014 contributor: fullname: Lillehei – volume: 42 start-page: 81 year: 1986 ident: 10.1016/0002-9149(89)90271-3_BIB3 article-title: Ruptured aneurysms of the sinus of Valsalva publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)61842-5 contributor: fullname: Mayer – volume: 41 start-page: 284 year: 1986 ident: 10.1016/0002-9149(89)90271-3_BIB9 article-title: Surgical treatment of ruptured aneurysms of the sinus of Valsalva publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)62770-1 contributor: fullname: Verghese – volume: 16 start-page: 533 year: 1957 ident: 10.1016/0002-9149(89)90271-3_BIB7 article-title: Successful surgical repair of a ruptured aneurysm of the sinus of Valsalva publication-title: Circulation doi: 10.1161/01.CIR.16.4.533 contributor: fullname: Morrow – volume: 34 start-page: 180 year: 1986 ident: 10.1016/0002-9149(89)90271-3_BIB1 article-title: Surgical repair and long-term followup of ruptured sinus of Valsalva aneurysms in 29 cases publication-title: Nippon Kyobu Geka Gakkai Zasshi contributor: fullname: Abe – start-page: 665 year: 1986 ident: 10.1016/0002-9149(89)90271-3_BIB2 article-title: Congenital aneurysms of the sinus Valsalva contributor: fullname: Kirklin |
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| Snippet | Sinus of Valsalva aneurysms are rare and usually of congenital origin. Their exact incidence is unknown due to their tendency to remain asymptomatic until the... |
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| SubjectTerms | Aortic Rupture - surgery Biological and medical sciences Cardiology. Vascular system Coronary heart disease Follow-Up Studies Heart Humans Male Medical sciences Middle Aged Recurrence Sinus of Valsalva Time Factors |
| Title | Late recurrent rupture of a sinus of Valsalva aneurysm |
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