Surgical treatment of ruptured aneurysm of the sinus of Valsalva combined with infective endocarditis
- VernacularTitle:主动脉窦瘤破裂合并感染性心内膜炎的外科治疗
- Author:
Chunsheng LI
;
Zhongya YAN
;
Zhong LU
;
Yijun WU
;
Hong LEI
;
Zhengyan ZHU
;
Yun SUN
;
Li ZHENG
;
Guangcun CHENG
- Publication Type:Journal Article
- Keywords:
Sinus of Valsalva;
Aneurysm,ruptured;
Surgical procedures,operative;
Endocarditis,bacterial
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(26):4-6
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the susceptible factors and the experience of the surgical treatment of ruptured aneurysm of the sinus of Valsalva combined with infective endecarditis.Methods From January 2000 to March 2008,30 cases with raptured aneurysm of the sinus of Valsalva were admitted, clinical data of 10 cases combined with infective endocarditis were retrospectively reviewed.Nine cases underwent the surgical treatment,including 6 cases accepted aortic valve replacement (AVR).Results Nine eases underwent the surgical treatment followed up for 2 months to 8 years,cardiac function of the survivors recovered to Class Ⅰ-Ⅱ in NYHA,7 cases were Ⅰ grade,2 cases were Ⅱ grade.One case was dead for MSOF not underwent the surgical treatment.Conclusions Associated with ventricular septal defect is one of the susceptible factors.Following diagnosis of ruptured aneurysm of sinus of Valsalva combined with infective endocarditis,sufficiently and validly antibiotic and surgical treatment should be pedormed as quickly as possible,and AVR to the moderate and severe aortic insufficiency.
