PMID: 9527204Apr 4, 1998Paper

Aneurysm of sinus of Valsalva dissecting into interventricular septum

The Annals of Thoracic Surgery
Shiv Kumar ChoudharyPanangipalli Venugopal

Abstract

Dissection of interventricular septum by aneurysm of the sinus of Valsalva is extremely rare. We present our experience with the management of 10 patients with this condition. Ten patients with aneurysm of the sinus of Valsalva dissecting into the interventricular septum were managed at All India Institute of Medical Sciences, New Delhi, between May 1987 and September 1996. Conduction abnormalities and aortic insufficiency dominated the clinical picture. Eight patients underwent surgical repair. Two patients refused operation, and only permanent pacemaker implantation was done for complete heart block in both these patients. There was no hospital mortality. Follow-up ranged from 1 to 9 years. There was one late death due to carcinoma of the larynx, and 1 patient required reoperation for persistent aortic insufficiency. All other patients who underwent operation are in New York Heart Association functional class I. We recommend surgical repair of this condition to deal with aortic regurgitation and to avoid the potential risk of rupture, thromboembolism, and infective endocarditis. However, surgical repair offers no guarantee against arrhythmias and conduction abnormalities.

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Citations

Feb 24, 2001·International Journal of Cardiology·P Vaideeswar, A Kaliamoorthy
Apr 16, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shiv Kumar ChoudharyPanangipalli Venugopal
May 10, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Takanori KusuyamaShigefumi Suehiro
Jul 24, 2014·Global Cardiology Science & Practice·Ahmed AfifiMohamed Donya
Nov 3, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Ravi S MathA Bisoi
Dec 17, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Vipin KumarGeorge Joseph
Nov 23, 2016·Cardiology in the Young·Mehnaz AtiqSulaiman B Hasan
Mar 9, 2017·Medicine·Xiaoyan GuJ V Ian Nixon
Jan 29, 2017·Echocardiography·Keerthi ChigurupatiRupa Sreedhar
Dec 14, 2011·Asian Cardiovascular & Thoracic Annals·Raja Saravanan ElumalaiSusan George
Sep 3, 2014·Asian Cardiovascular & Thoracic Annals·Takayoshi KatoYasuhide Okawa
Apr 15, 2003·Asian Cardiovascular & Thoracic Annals·Laxmanan MohanakrishnanSubramaniam Manoharan
Apr 19, 2008·Anesthesia and Analgesia·Luigi VetrugnoUgolino Livi
Apr 14, 2006·Cardiology·Dmitriy N Feldman, Mary J Roman
May 13, 2014·Echocardiography·Nagamani Alur ChikkabasavaiahManjunath Cholenahally Nanjappa

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