Clinical analysis of 54 patients with rupture of aortic sinus aneurysm / 中国基层医药

Objective To summarize the ruptured types, operational ways and therapy effect for rupture of aortic sinus aneurysm. Methods The operational cured 54 eases with aneurysm of aortic sinus were retrospectively analyzed. Results There were 48 cases of right aortic sinus aneurysm and 6 cases with null aneurysm of aortic sinus. 50 cases among them rupture was permeated into right ventricle ,4 eases among them reptured into right atrium. There were 11 cases with ventricular septal defect, 15 cases with aortic valvular imcompetence,6 cases complicated with in-fective endocarditis. 54 cases received operation, 1 case was died from MSOF. 53 patients were followed up,the mean follow up period was 4. 5 years. The cardiac function of 16 cases were found to be of NYHA class Ⅰ , 17 cases of class l] and 3 cases of class m. Conclusions The right aneurysm of aortic sinus were the most types, and it always rup-tured into right ventricle. It suggests that it is important for aneurysm of aortic sinus operated as early as possible in or-der to avoid losing the chance of operation.

Clinical Study on Operation for Rupture of Aortic Sinus Aneurysm / 中国医师杂志

Objective To summarize the ruptured types, operational ways and therapy effect for rupture of aortic sinus aneurysm.Methods The operational cured 55 cases with aneurysm of aortic sinus were retrospectively analysed.Results There were 46 cases of right aortic sinus aneurysm, 45 cases among them rupture was peretrated into right ventricle, one rupture was peretrated into right atrium;there were null aneurysm of aortic sinus, 5 cases among them ruptured into right atrium, 2 cases ruptured into right ventricle; 2 cases of left aneurysm of aortic sinus, ruptured into left ventricular. There were 24 cases with ventricular septal defect, 32 cases with aortic valvular imcompetence, 6 cases with other diseases, 8 cases complicated with infective endocarditis. All cases underwent operational treatment, one patient who had severe left heart failure and huge left ventricle before operation died from refractory arrhythemia after operation, another who had severe infective endocarditis,and patients with cardic function degree Ⅳ were died from low cardic output syndrome, others were better.Conclusions The right aneurysm of aortic sinus were the most types, and it always ruptured into right ventricle; It suggests that it is important for 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 with infective endocarditis .