Surgical treatment of the ruptured aneurysm of the aortic sinuses.

摘要: Abstract Over the past 11 years, 51 patients (36 male, 15 female) underwent operation to correct ruptured sinus of Valsalva at Shanghai Chest Hospital. Associated lesions were present in 36 patients. All had cardiac enlargement, pulmonary plethora, and prominence main arterial trunk. Preoperative pressure averaged 135/46 mm Hg (range, 200–96/95–0 Hg). At chamber into which aneurysm emptied was opened. The projecting aneurysmal sac resected its base, leaving a fringe 2 3 for suturing. A double-layer suture closure used, first row figure-of-eight sutures, followed by buttressed mattress sutures. Forty-five survived operation; 6 died shortly after operation, perioperative mortality 11.8%. Follow-up 4 years 8 months. Thirty-eight symptom free working; 7 returned part-time work. There no late deaths. grade II systolic murmur persists patients, 1 them loud continuous thrill both noted. who have shown remarkable reduction cardiothoracic ratio improvement symptoms. These results justify early surgical intervention.