Zhao Gaofeng, Seng Jingjing, Yan Baojun, Wei Hongchao, Qiao Chenhui, Zhao Song, Zhao Wenzeng, Zhi Xingyi
Department of Cardiovascular Thoracic Surgery, the First Teaching Hospital Zhengzhou University, Zhengzhou 450052, China.
Chin Med J (Engl). 2003 Jul;116(7):1047-50.
To evaluate the methods used to diagnose and surgically treat ruptured aneurysm in sinus of Valsalva (RASV).
Thirty-seven hospitalized patients with ruptured aneurysms in the sinus of Valsalva from September 1981 to April 2001, including 21 cases (56.7%) of RASV associated with ventricular septal defects (VSD) and 11 (29.7%) with aortic valvular prolapse were given surgical interventions. Under hypothermia and extracorporeal circulation, we successfully performed the surgical correction of RASV for all 37 patients VSD repair in 21 patients, aortic valvuloplasty in 6 and aortic valvular replacement in 2.
There was no hospital deaths among these patients, although residual shunting occurred in two patients and acute renal failure was found one. Follow-up study of one month to 20 years in the patients undergoing repair of RASV revealed that the mostly individuals treated with operation obtained satisfactory cardiac function.
Correct diagnosis of ruptured aneurysm in sinus of Valsalva should be confirmed immediately and surgical correction should be carried out as soon as possible.
评估用于诊断和手术治疗瓦氏窦破裂性动脉瘤（RASV）的方法。
1981年9月至2001年4月期间，37例住院的瓦氏窦破裂性动脉瘤患者接受了手术干预，其中21例（56.7%）RASV合并室间隔缺损（VSD），11例（29.7%）合并主动脉瓣脱垂。在低温体外循环下，我们成功地对所有37例患者进行了RASV手术矫正，21例患者进行了VSD修复，6例进行了主动脉瓣成形术，2例进行了主动脉瓣置换术。
这些患者中无医院死亡病例，尽管有2例患者出现残余分流，1例出现急性肾衰竭。对接受RASV修复的患者进行1个月至20年的随访研究发现，大多数接受手术治疗的患者心脏功能令人满意。
应立即确诊瓦氏窦破裂性动脉瘤，并尽快进行手术矫正。
