Original article: cardiovascularRuptured sinus of valsalva aneurysm: a Beijing experience
Section snippets
Material and methods
Between October 1, 1996 and September 30, 2001, 67 Chinese patients with RSVA underwent operation at Fu Wai Hospital. This experience constitutes 0.42% of all the heart operations (n = 15,994) and 0.78% of the congenital open-heart operations (n = 8,621) during this 5-year interval. Forty-four were male and 23 were female. Age ranged from 2 to 57 years old (mean 32 ± 10 years; Table 1), and body weight ranged from 13 to 96 kg (mean 62 ± 12 kg). Preoperative signs and symptoms with their
Results
Sixty-six patients survived operation. In the patient who succumbed, an aneurysm ruptured acutely into the RA leading to heart failure and chronic renal dysfunction. Successful emergent repair was achieved with an uneventfully recovery for the first two postoperative days. Five days postoperatively, acute peritonitis, septic shock and acute renal failure developed. The patient died on the eighth postoperative day.
Postoperative complications included: bleeding (n = 2), skin wound infection (n =
Comment
The incidence of acute onset of the symptoms in patients with RSVA is about 35% [2]. In our series, however, we believe the sudden development of palpitation or chest pain in 58% represent a higher percentage of acute onset. The origin, exit, coexistent VSD and coexistent AI do not help us explain this higher percentage.
When an aneurysm ruptures into the RVOT, a coexistent subarterial VSD is likely 1, 3. Exceptions can be explained by the following. If the coexistent subarterial VSD is small
Acknowledgements
The authors thank Dr Donald C. Watson for language editing this manuscript.
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