Morphometric features of ruptured congenital sinus of Valsalva aneurysm. Implication for surgical treatment

J. A.M. Van Son, E. K.W. Sim, A. Starr

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Five hearts with ruptured congenital sinus of Valsalva aneurysm were studied. In 3 hearts of Caucasian patients, the sinus of Valsalva aneurysms were located in the immediate vicinity of the commissure between the noncoronary and right aortic cusps with rupture from the noncoronary sinus to the right atrium (n = 2) and from the right sinus to the right ventricle (n = 1). In 2 hearts of indigenous North Americans, the defects were sited in the immediate vicinity of the commissure between right and left aortic cusps with rupture into the right ventricle; both patients had an associated conal septal hypoplasia ventricular septal defect and aortic insufficiency. The diameters of the rupture holes at the base of the sinus of Valsalva aneurysms in the five hearts ranged from 0.4 to 1.1 cm (mean 0.7 cm). Histologic examination of longitudinal sections through the ruptured sinus of Valsalva showed 0.8 to 1.7 cm (mean 1.1 cm) wide areas in which there was lack of continuity between the aortic media and the aortic annulus. Conclusions. This study shows that the site of congenital weakness in sinus of Valsalva aneurysm in indigenous North American patients may be similar to that in Oriental patients, whereas the site tends to be different in Occidental patients. It also emphasizes the importance of patch closure rather than suture closure of ruptured sinus of Valsalva aneurysms.

Original languageEnglish (US)
Pages (from-to)433-436
Number of pages4
JournalJournal of Cardiovascular Surgery
Volume36
Issue number5
StatePublished - Dec 1 1995

Keywords

  • Aneurysm
  • Aorta
  • Heart defects, congenital
  • Sinus of Valsalva

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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