Contemporary approaches to surgical treatment of aneurysm rupture in Valsalva sinus
Introduction. To date, the number of papers dedicated to rupture of aneurysm of sinus of Valsalva (RASV) is significantly small. The aim of this paper is to study the contemporary state of the problem and present the own approach to the diagnostics and treatment of this disease with due regard to 40-year experience. Material and methods. 67 patients underwent the correction of RASV in the department of surgery for older children with congenital heart diseases of A.N. Bakoulev SCCVS RAMS between 1963 and 2011. The surgeries were performed under cardiopulmonary bypass, hypother mia and pharmaco-cold cardioplegia. Access to a pathologic chamber was used during RASV correction. Aortotomy was additionally per formed in 22 cases along with the access to aneurysm of Valsalva sinus in order to explore the aortic valve. 46 patients underwent the cor rection of concomitant defects. Results. Hospital mortality was 1.5%. Follow-up period of discharged patients was 6.2 ± 3.5 years (6 months - 15 years). All patients were referred to I or II NYHA functional class at the last examination. There were no deaths in a long-term period. Conclusion. Timely correction of RASV and concomitant cardiac pathology provides favorable immediate and long-term results.