Pasic M, von Segesser L, Carrel T, Jenni R, Turina M
Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
Eur J Cardiothorac Surg. 1992;6(10):542-4. doi: 10.1016/1010-7940(92)90005-i.
Congenital ruptured aneurysm of the sinus of Valsalva is a rare anomaly usually causing decrease of cardiac performance. Eight patients with a ruptured congenital aneurysm of the sinus of Valsalva were operated upon at the University Hospital Zurich between 1970 and 1991. There were four female and four male patients aged from 15 to 48 years (mean, 36 years). Three patients were asymptomatic and five symptomatic. Associated congenital cardiac defects were found in six patients. Surgical techniques consisted of direct suture in seven patients and closure with a Dacron patch in one. A secondary Dacron patch closure was performed on the second postoperative day in a patient with suture insufficiency after direct closure. Associated operations were closure of ventricular septal defect in two patients, aortic valve replacement in two, aortic valve reconstruction in one and aortic valve commissurotomy in one patient. There were no operative deaths. The mean follow-up was 9 years, range 7 months to 17 years. There were two late deaths due to endocarditis and recurrent cerebral embolisation. An operation for a ruptured aneurysm of the sinus of Valsalva has a low operative risk, but patients remain prone to development of late valvular complications.
先天性瓦氏窦瘤破裂是一种罕见的异常情况，通常会导致心脏功能下降。1970年至1991年间，苏黎世大学医院对8例先天性瓦氏窦瘤破裂患者进行了手术。患者年龄在15至48岁之间（平均36岁），男女各4例。3例患者无症状，5例有症状。6例患者伴有先天性心脏缺陷。手术技术包括7例直接缝合和1例用涤纶补片修补。1例患者直接缝合后出现缝线不足，术后第二天进行了二次涤纶补片修补。相关手术包括2例室间隔缺损修补、2例主动脉瓣置换、1例主动脉瓣重建和1例主动脉瓣交界切开术。无手术死亡病例。平均随访9年，范围为7个月至17年。有2例晚期死亡，原因是心内膜炎和复发性脑栓塞。瓦氏窦瘤破裂手术的手术风险较低，但患者仍易发生晚期瓣膜并发症。
