over the past 3.5 years, 5 cases with ruptured sinus of Valsalva were operated upon at Asan Medical Center. Four patients were congenital and 1 traumatic. Coexistent lesions included 2 subarterial VSD, 3 AR requiring procedures(2 AVR, 1
valvoplasty), 2
subaortic membranes, 1 PDA, and 1 bicuspid AV. The communication is noncoronary inus to RA in 1 and right coronary sinus to RV in the other 4 patients. The firstula was repaired through the aorta whenever possible and reinforced through the right
sided
chamber.
There are no surgical mortality and no recurrence of rupture yet. (Korean J Thoracic Cardiovas Surg 1994; 27:621-3)
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