ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Our 16-year experience in surgical treatment of aneurysms of sinus of Valsalva
Alaa Hijazi1, Aytaç Çalışkan2, Bayram Yılmazkaya1, Ferit Çiçekçioğlu2, İrfan Taşoğlu2, Ufuk Tütün2, Cemal Levent Birincioğlu2, Mustafa Paç2
1OSM Ortadoğu Hospital, Kalp ve Damar Cerrahisi Bölümü, Şanlıurfa, Türkiye
2Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2016.12787
Background: This study aims to present short and longterm results of surgical treatment in patients with an aneurysm of sinus of Valsalva.

Methods: Between January 1998 and February 2014, a total of 38 patients (32 males, 6 females; mean age 41±18 years; range 16 months to 76 years) who were operated for an aneurysm of sinus of Valsalva in our clinic were included in the study. Pre-, intra-, and postoperative data of the patients were recorded.

Results: The mean follow-up was 6±5 years (range, 29 days to 16 years). One patient (2.6%) died in the early postoperative period due to low cardiac output. A permanent pacemaker was inserted into two patients (5.3%) due to complete block of atrioventricular node early after the repair of aneurysm of sinus of Valsalva and ventricular septal defect and aortic valve replacement. In the long-term, one patient (2.7%) died in the third postoperative month due to non-cardiac causes-related multi-organ failure. Survival rate was 97.3% at the end of the mean follow-up (6.5 years). Postoperative echocardiography revealed no recurrent aneurysm, no paravalvular leak, or severe aortic valve regurgitation in any patient.

Conclusion: Our study results show that aneurysms of sinus of Valsalva can be safely and surgically repaired with low mortality rates and excellent longterm outcomes.

Keywords : Aortic aneurysm; ruptured aneurysm; sinus of Valsalva
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