Gordini V, Cataldo G, Sala R, Vitali E, Pellegrini A
G Ital Cardiol. 1980;10(7):897-901.
The study includes 10 patients affected by aneurysm of Valsalva sinus who underwent surgery. The aneurysm involved the "non coronary" sinus in 5 cases and the right coronary sinus in 5. All the aneurysms prolapsed into the right cardiac chambers. Additional cardiac anomalies were present in 6 patients. 4 patients were asymptomatic, 2 were in NYHA class III and 4 in class IV and one was in cardiogenic shock. Indications for surgery were hemodynamic impairment due to the shunt and/or associated anomalies. Surgical treatment included resection of the aneurysm, suture of its orifice and correction of associated cardiac anomalies. Death only occurred in one patient, who arrived at surgery in cardiogenic shock. 8 patients were followed-up for a mean period of 40 months (range 11 to 84 months), after operation: satisfactory clinical conditions were found in all of them. A mild aortic regurgitation was only observed in one patient, 8 years after surgery.
该研究纳入了10例接受手术治疗的瓦氏窦瘤患者。5例患者的瘤体累及“无冠”窦，5例累及右冠状窦。所有瘤体均脱垂至右心腔。6例患者存在其他心脏异常。4例患者无症状，2例为纽约心脏协会（NYHA）心功能Ⅲ级，4例为Ⅳ级，1例处于心源性休克状态。手术指征为分流和/或相关异常导致的血流动力学损害。手术治疗包括瘤体切除、瘤口缝合以及相关心脏异常的矫正。仅1例患者死亡，该患者手术时处于心源性休克状态。8例患者术后平均随访40个月（范围11至84个月）：所有患者临床状况均令人满意。术后8年，仅1例患者出现轻度主动脉瓣反流。
