ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the methods used to diagnose and surgically treat ruptured aneurysm in sinus of Valsalva (RASV).</p><p><b>METHODS</b>Thirty-seven hospitalized patients with ruptured aneurysms in the sinus of Valsalva from September 1981 to April 2001, including 21 cases (56.7%) of RASV associated with ventricular septal defects (VSD) and 11 (29.7%) with aortic valvular prolapse were given surgical interventions. Under hypothermia and extracorporeal circulation, we successfully performed the surgical correction of RASV for all 37 patients VSD repair in 21 patients, aortic valvuloplasty in 6 and aortic valvular replacement in 2.</p><p><b>RESULTS</b>There was no hospital deaths among these patients, although residual shunting occurred in two patients and acute renal failure was found one. Follow-up study of one month to 20 years in the patients undergoing repair of RASV revealed that the mostly individuals treated with operation obtained satisfactory cardiac function.</p><p><b>CONCLUSION</b>Correct diagnosis of ruptured aneurysm in sinus of Valsalva should be confirmed immediately and surgical correction should be carried out as soon as possible.</p>
Subject(s)
Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Aortic Aneurysm , Diagnosis , General Surgery , Aortic Rupture , Diagnosis , General Surgery , Sinus of ValsalvaABSTRACT
Objective To evaluate the relationship of oncosis and the expression of microvessel density (MVD) in colorectal carcinoma and its clinical significance Methods The expression of MVD and oncosis were detected by immunohistochemical method and transmission electron microscope in 64 cases of colorectal carcinoma Results Oncosis existed in colorectal carcinoma Oncosis index (OI) in tissues of colorectal carcinoma decreased with the decrease of differentiation grades ( F=8 590?2, P