Aneurysm of sinus of valsalva surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S.[2]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S.[3]

Overview

An aneurysm in the sinus of valsalva can be treated through both, mediacal and surgical therapy. Often, surgical therapy is the most preferred method of treatment as it directly works to reduce the high morality and morbidity rates of aneurysms of the sinus of valsalva. Normal surgical interventions include repairing aortic structures such as the root or the valve as well as correction of accompanying septal defects.

Surgical Therapy

The determination to perform surgery is usually based upon the diameter of the aortic root and the rate of increase in its size, as determined through repeated echocardiography.

In patients with a ruptured aneurysm of the sinus of valsalva, immediate surgical intervention is need to repair and correct intracardiac shunting and disruptions in hemodynamic balance. Even in an unruptured aneurysm of the sinus of valsalva, there is a high mortality rate abnd morbidity rate associated with the aneurysm. It is therefore, always, recommended to consider an immediate surgical intervention.

Potential surgical interventions include:

• Reconstruction of the aortic root or replacement of the aortic root
• Repair of the aortic valve or replacement of the aortic valve
• If present, repair of an atrial septal defect
• If present, repair of a ventricular septal defect
• Closure with primary suture (primarily used for pledget) or patch (primarily used if ruptured)