Clinical experience on operation for rupture of aortic sinus aneurysm
10.3760/cma.j.issn.1673-4904.2011.14.006
- VernacularTitle:主动脉窦瘤破裂手术治疗的临床体会
- Author:
Minyan ZHUANG
;
Baotang HUANG
;
Jin YU
- Publication Type:Journal Article
- Keywords:
Aortic rupture;
Cardiac surgical procedures;
Coronary vessels
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(14):14-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the ruptured types and surgical treatment experience for rupture of aortic sinus aneurysm. Methods Nineteen cases with aneurysm of aortic sinus were retrospectively analyzed. There were 10 cases with ventricular septal defect,6 cases with aortic valvular incompetence,6cases with other diseases,2 cases complicated by infective endocarditis. All cases underwent operational treatment. Results There were 15 cases of right aneurysm of aortic sinus,including 12 cases among them ruptured into right ventricle,3 cases rupture was penetrated into right atrium.There were 3 cases of null aneurysm of aortic sinus,including 1 case among them ruptured into right ventricle,2 cases ruptured into right atrium. There was 1 case of left aneurysm of aortic sinus, which ruptured into left ventricle. No operative death occurred in all, 1 case with aortic regurgitation light to moderate,and all cases were recovered.Conclusions The right aneurysm of aortic sinus is the most common types,and always rupture into right ventricle. It is important that aneurysm of aortic sinus should be operated as early as possible in order to avoid losing the chance of operation, particular in the patients complicated by infective endocarditis.
