RUPTURED SINUS OF VALSALVA: SURGICAL TECHNIQUE TO REPAIR THROUGH TRANS-AORTIC APPROACH: EXPERIENCE AT N.I.C.V.D

Objectives: Ruptured sinus of valsalva is considered a  rare cardiac surgical condition that be result of  congenital weakness of the aortic media  . We like to present our experience of surgical  management and post operative outcome of that condition .

Methods: After reviewing  our surgical record we identified 29  patients operated for  Ruptured Sinus of Valsalva  repair between January 2010 to   December 2016. Nevertheless we had selected 11 patients as final cohort as we have complete record of hospital course with six month follow upn.The mean age was 27 ± 7.2years. The pattern of involvement of coronary sinus of Valsalva was  right coronary sinus of valsalva was  found to be involved in 9 patients while left coronary sinus of valsalva  was involved in 2 patient and non coronary sinus of valsalva  i 1 patients respectively . All the RSV were closed with patch within the aorta while double chamber exposure were required in two patients .

Results:     One patient developed  post-op bacterial endocarditis required surgical re-intervention. While one patient required permanent pacemaker  The hospital survival rate was 91% with a single mortality.

Conclusions: Trans-aortic approach with single patch technique for repair of RSV has  low operative mortality  and morbidity with  good long-term  results.

Keywords:  Ruptured Sinus Of Vasalva , Aortic Root Complex