ABSTRACT
Twenty two cases of aneurysm of sinus of Valsalva managed during a 12 year period are analysed. The right coronary sinus was involved in 14 and the non-coronary sinus in eight cases. It had ruptured in 20 patients while in the other two it had produced right ventricular outflow tract (RVOT) obstruction. Six patients had associated ventricular septal defect (VSD), and eight had aortic regurgitation (AR), five of these requiring aortic valve replacement (AVR). Aortocameral approach was preferred and was used in 18 patients. Recurrence had occurred in one. Surgical management and results are discussed.
Subject(s)
Adolescent , Adult , Aortic Aneurysm/complications , Aortic Rupture/surgery , Aortic Valve Insufficiency/complications , Female , Heart Septal Defects, Ventricular/complications , Humans , Male , Middle Aged , Sinus of Valsalva/surgeryABSTRACT
A case of successful surgical repair of tetralogy of Fallot with complete atrioventricular canal in 4 year old female child is reported. Double patch technique and combined right atrial and right ventricular (RV) approach were used to repair this defect. The ventricular patch was tailored wide and redundant anteriorly in the form of a sail to prevent subaortic obstruction. Right ventricular outflow tract obstruction was relieved through an infundibular incision with subsequent use of subannular pericardial patch. The relevant literature on the management of this rare anomaly is briefly reviewed.
Subject(s)
Child, Preschool , Endocardial Cushion Defects/complications , Female , Heart Ventricles/surgery , Humans , Polytetrafluoroethylene , Prostheses and Implants , Tetralogy of Fallot/complicationsABSTRACT
Twenty limbs with varicose veins were subjected to injection compression sclerotherapy. Satisfactory results were obtained in all the cases. The technique and results are presented with the aim that this technique will be practised in more and more centres in India.