|
KMID : 0364019740070020201
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1974 Volume.7 No. 2 p.201 ~ p.307
|
|
|
Ruptured Aneurysm of Aortic Sinus of Valsalva
|
|
李鍾明/Lee, Jong Myung
趙範九/洪承祿/洪弼勳/金性淳/車弘道/Cho, Bum Koo/Hong, Seung Nok/Hong, Pill Hoon/Kim, Seung Soon/Cha, Hong Do
|
|
|
Abstract
|
|
|
The purpose of this paper is to present author´s experience with 6 cases of ruptured aneurysm of sinus of Valsalva which were treated surgically during last 10 years.
Among the 6 cases, 5 were male and one was female.
All of them originated from the right coronary sinus and 5 cases were ruptured into the RV while remained one into RA.
The diagnosis was obtained in 4 cases by cincangiocardiogram.
Clinically, we had difficulties in differential diagnosis with combined cases of VSD with A.I. and had special experience in its differentiation during cardiac catheterization.
By simultaneous trans-venous and trans-arterial catheterization, identified two catheter tips in the RV, and pull back tracing obtained aortic pressure directly from RV, and RA from RV pressure which were benefit in confirm ruptured aneurysm of the aortic sinus.
Surgical correction was performed by means of direct suture closure or combined Teflon pledget or patch enforcement graft after aneurysm resection by trans-RA or trans-]ZV approach.
All patients had no history of bacterial endocarditis, syphilis, or tuberculosis and operative findings revealed intact coronary sinus except involved one moreover 3 cases combined with high VSD which suggested congenital in origin although pathologic reports revealed only fibrosis.
Post-operative course were uneventful in all cases but one who had bleeding and 2 months to 9 years follow up results were good and spend their usual life in all cases.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|
|