Journal de réadaptation cardiaque et pulmonaire

Abstrait

A study on Morphology of Rupture of Sinus of Valsalva, Clinical Presentation, Surgical Techniques and Postoperative outcome-A single Centre Experience

Rupesh Kumar, Sanjeev Rawat, Vikram Halder, Soumitra Ghosh

Background: The study was performed to analyze different presentation, type, surgical approach and long term outcome of patients with rupture of sinus of Valsalva.

Methods: We investigated 16 consecutive patients (Mean age: 33.75, Range: 26-65 years) who underwent surgical repair of sinus of valsalva between January 2014 to march 2019.

Results: Mean age of the patients in the study group was 33.75+-13.76.Most of the patients were male (62.5%). Most common presenting features were dyspnea on exertion (81.25%). Right coronary cusp (56.25%) was involved most commonly and right atrium (50%) was the most common communicating cardiac chamber. Most of the patients (75%) had associated aortic regurgitation with varying degree (Mild-12.5%, Moderate-25%, and Severe-37.5%).The surgical approach is mainly through Trans aortic and the chamber involved in all cases for better surgical outcome. Multi valvular heart disease associated with rupture of sinus of valsalva necessitates its repair or replacement results in poor postoperative outcome.

Conclusion: Rupture of sinus of Valsalva is a rare cardiac condition which requires surgical intervention. The long term outcome following surgery is satisfactory with improvement in NYHA clinical status.