Ruptured sinus of Valsalva aneurysm: Transaortic repair may cause sinus of Valsalva distortion and aortic regurgitation Sung-Ho Jung, MD, Tae-Jin Yun,

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Presentation transcript:

Ruptured sinus of Valsalva aneurysm: Transaortic repair may cause sinus of Valsalva distortion and aortic regurgitation Sung-Ho Jung, MD, Tae-Jin Yun, MD, PhD, Yu-Mi Im, MS, Jeong-Jun Park, MD, Hyun Song, MD, Jae-Won Lee, MD, Dong-Man Seo, MD, Moo-Song Lee, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 135, Issue 5, Pages 1153-1158 (May 2008) DOI: 10.1016/j.jtcvs.2008.01.004 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Surgical technique used for the repair of RSVA to the RA. A, RSVA to the RA. B, Primary closure of fistulous communication. C, Detachment of tricuspid leaflets. D, Placement of a Dacron patch to support the sinus of Valsalva aneurysm and membranous septum. E, Transaortic patch repair of RSVA. RSVA, Ruptured sinus of Valsalva aneurysm; RA, right atrium; RV, right ventricle; LA, left atrium; LV, left ventricle; Ao, aorta; The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1153-1158DOI: (10.1016/j.jtcvs.2008.01.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Surgical technique used for the repair of RSVA to the RV. A, RSVA to the RV outflow tract. B, Primary closure of fistulous communication. C, Placement of a Dacron patch to close VSD and to support the sinus of Valsalva aneurysm. D, Transaortic patch repair of RSVA. RSVA, Ruptured sinus of Valsalva aneurysm; VSD, ventricular septal defect; RV, right ventricle; LV, left ventricle; Ao, aorta; MPA, main pulmonary artery The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1153-1158DOI: (10.1016/j.jtcvs.2008.01.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from significant AR excluding 3 who had AVR on RSVA repair (n = 53). AR, Aortic regurgitation; AVR, aortic valve replacement; 5 Y-AR-Freedom, 5-year freedom from significant AR; 8 Y-AR-Freedom,8-year freedom from significant AR. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1153-1158DOI: (10.1016/j.jtcvs.2008.01.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Freedom from significant AR in transaortic (TA) group (n = 17) and non-transaoartic (non-TA) group (n = 36). AR, Aortic regurgitation; 5 Y-AR-Freedom, 5-year freedom from significant AR; 8 Y-AR-Freedom,8-year freedom from significant AR. The Journal of Thoracic and Cardiovascular Surgery 2008 135, 1153-1158DOI: (10.1016/j.jtcvs.2008.01.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions