During the recent 10 years, ten patients with ruptured sinus of Valsalva were operated on our institute. Eight patients were congenital but two patients were proved acquired lesions due to bacterial endocarditis. Coexistent cardiac lesions were 4
aortic
regurgitations, 2 atrial septal defects, l ventricular septal defect, l tricuspid regurgitation and l mitral regurgitation. In all cases, aneurysms of sinus of Valsalva arose from the right coronary sinus, and they ruptured to right ventricle in
8
patients and to right atrium in 2 patients. We preferred double approach, through both the aorta and the involved cardiac chamber, The repair of ruptured site was performed Dacron patch graft in 8 patients and simple closure in 2 patients.
Operative
results were very good in all cases with no surgical mortality.
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