CTSN - Congenital Sinus of Valsalva Aneurysm Selected References
Congenital Sinus of Valsalva Aneurysm References
van Son JA, Danielson GK, Schaff HV, Orszulak TA, Edwards WD, Seward JB. Long-term outcome of surgical repair of ruptured sinus of Valsalva aneurysm. Circulation 1994 90(5 Pt 2):II20-9.
Thirty-one patients had surgical correction with no operative mortality and 95% survival at 20 years. All patients who required reoperation had right sinus-RV fistulas; the authors recommend the transaortic approach for inspection and repair of the aortic root.
Hamid IA, Jothi M, Rajan S, Monro JL, Cherian KM. Transaortic repair of ruptured aneurysm of sinus of Valsalva. Fifteen-year experience. Journal of Thoracic and Cardiovascular Surgery 1994 107(6):1464-8.This series of patients also had low mortality. Use of the transaortic approach allows closure of an associated VSD, which is commonly found in these patients.
Dev V, Goswami KC, Shrivastava S, Bahl VK, Saxena A. Echocardiographic diagnosis of aneurysm of the sinus of Valvsalva. American Heart Journal 1993 126(4):930-6.All patients had echo diagnosis and over half had angiography as well. Although three VSDs and two cases of subvalvular pulmonary stenosis were not identified until surgery, the authors feel echo is accurate in the evaluation of these aneurysms.
Sources for further reading
Chapter 39: Sinus of Valsalva Aneurysm. Pediatric Cardiac Surgery (Mavroudis and Backer), 2nd ed., 516-520.
Chapter 21: Congenital Aneurysm of the Sinus of Valsalva. Cardiac Surgery (Kirklin and Barratt-Boyes), 2nd ed., 825-840.
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