Surgical treatment of ruptured aneurysm of the sinus of Valsalva combined with infective endocarditis

中国医师进修杂志 Pub Date : 2008-09-15 DOI:10.3760/CMA.J.ISSN.1673-4904.2008.26.002

Chun-sheng Li, Zhongya Yan, Lu Zhong, Wang Yijun, Lei Hong, Zhengyan Zhu, Sun Yun, Zheng Li, Guangcun Cheng

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Abstract

Objective To summarize the susceptible factors and the experience of the surgical treatment of ruptured aneurysm of the sinus of Valsalva combined with infective endecarditis.Methods From January 2000 to March 2008,30 cases with raptured aneurysm of the sinus of Valsalva were admitted, clinical data of 10 cases combined with infective endocarditis were retrospectively reviewed.Nine cases underwent the surgical treatment,including 6 cases accepted aortic valve replacement (AVR).Results Nine eases underwent the surgical treatment followed up for 2 months to 8 years,cardiac function of the survivors recovered to Class Ⅰ-Ⅱ in NYHA,7 cases were Ⅰ grade,2 cases were Ⅱ grade.One case was dead for MSOF not underwent the surgical treatment.Conclusions Associated with ventricular septal defect is one of the susceptible factors.Following diagnosis of ruptured aneurysm of sinus of Valsalva combined with infective endocarditis,sufficiently and validly antibiotic and surgical treatment should be pedormed as quickly as possible,and AVR to the moderate and severe aortic insufficiency. Key words: Sinus of Valsalva; Aneurysm,ruptured; Surgical procedures,operative; Endocarditis,bacterial

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静脉窦破裂动脉瘤合并感染性心内膜炎的手术治疗

目的总结主动脉窦破裂动脉瘤合并感染性心内膜炎的易感因素及手术治疗经验。方法回顾性分析我院2000年1月至2008年3月收治的30例Valsalva窦动脉瘤破裂，其中10例合并感染性心内膜炎的临床资料。手术治疗9例，其中主动脉瓣置换术(AVR) 6例。结果9例患者手术治疗，随访2个月~ 8年，患者心功能恢复至NYHAⅠ~Ⅱ级，Ⅰ级7例，Ⅱ级2例。1例因mof死亡，未行手术治疗。结论伴有室间隔缺损是心绞痛的易感因素之一。Valsalva窦性动脉瘤破裂合并感染性心内膜炎诊断后，应尽快给予充分有效的抗生素和手术治疗，对中重度主动脉不全给予AVR。关键词:瓦尔萨尔瓦窦;动脉瘤破裂;手术,手术;心内膜炎、细菌

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中国医师进修杂志

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