Thorac cardiovasc Surg 1984; 32(3): 148-151
DOI: 10.1055/s-2007-1023372
© Georg Thieme Verlag Stuttgart · New York

Ruptured Aneurysms of the Sinus Valsalvae

E. W. L. Jansen, I. L. D. Nauta, L. K. Lacquet
  • Department of Thoracic, Cardiac and Vascular Surgery, St. Radboud University Hospital, Nijmegen, The Netherlands
Further Information

Publication History

1984

Publication Date:
19 March 2008 (online)

Summary

Ruptured aneurysms of the sinus Valsalvae are relatively rare. Six patients have undergone operative treatment in our hospital in a 13-year period. Five of these, all men between the ages of 33 and 54 had a ruptured congenital aneurysm. Acquired aneurysms may occur and rupture at any age. One patient in our series had a mycotic aneurysm.

Endocarditis was quite frequently encountered and seemed to play a role at the onset of rupture.

Surgical technique consisted of direct closure in 4 patients and closure with a Dacron patch in 2 patients. Repair was successful in 5 patients. The patient with the mycotic aneurysm died after repeated surgery because of septic complications. Mean follow-up now is 3 1/2 years.

Ruptured aneurysms of the sinus Valsalvae should be treated operatively by a double approach and, in the presence of an acute progressive endocarditis, without delay.