Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm
Objective To evaluate the clinical efficacy, safety, and long‐term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA). Methods Eighty‐five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if th...
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| Veröffentlicht in: | Congenital heart disease 2018-03, Vol.13 (2), p.305-310 |
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| container_title | Congenital heart disease |
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| creator | Xiao, Jia‐Wang Wang, Qi‐Guang Zhang, Duan‐Zhen Cui, Chun‐Sheng Han, Xiumin Zhang, Po Hou, Chuangju Zhu, Xian‐Yang |
| description | Objective
To evaluate the clinical efficacy, safety, and long‐term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA).
Methods
Eighty‐five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if they met the criterion, surgical repair was performed on patients who were unsuitable or failed PC. Of them, 30 patients underwent PC, while the other 55 patients had surgical repair.
Results
RSVA was successfully occluded in 29 of 30 patients who were treated by PC. The mean narrowest diameter at the ruptured site was 6.45 ± 1.60 mm measured by aortography. One patient developed serious occluder‐related aortic regurgitation and underwent surgery. The success rate of the interventional approach was 96.7%. In the surgical group, 23 patients underwent repair of combined RSVA and ventricular septal defect. The hospital mortality rate of the surgical approach was 3.57%. During a median follow‐up of 83 months (8–152 months), the improvement in NYHA functional class in the PC group was significantly greater than those in the surgical group (P |
| doi_str_mv | 10.1111/chd.12572 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1994361993</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1994361993</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-caaf25054d8c326b250e9f50becf9ff66038a5cef357196cb59948b0162fcbbd3</originalsourceid><addsrcrecordid>eNp1kE9PwyAYxonRuDk9-AVMEy966EahtOVo6p-ZmHhR48GEUArahZYJRbNvL1s3Dya-B96HN7_3CTwAnCZwmoSaiY96miCSoz0wTvI0j2EB8f5O5_R1BI6cW0CYZjgvDsEIUUxD5WPwVuqmawTXkfG9MK10kVHRUlrhe95J48PdRs7b9w0ktAlarhnrl32QdeSazm-2Xrh2XH_xKCx6u3LtMThQYSZPtn0Cnm9vnsp5_PB4d19ePcQCE4xiwblCBJK0LgRGWRW0pIrASgpFlcoyiAtOhFSY5AnNREUoTYsKJhlSoqpqPAEXg-_Smk8vXc_axgmp9fADlgQeZ-HEAT3_gy6Mt114HUMQEYxxTmigLgdKWOOclYotbdNyu2IJZOvIWYicbSIP7NnW0VetrH_JXcYBmA3Ad6Pl6n8nVs6vB8sfG0WLkw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2025333759</pqid></control><display><type>article</type><title>Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm</title><source>Wiley Online Library Journals Frontfile Complete</source><source>Tech Science Press</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Xiao, Jia‐Wang ; Wang, Qi‐Guang ; Zhang, Duan‐Zhen ; Cui, Chun‐Sheng ; Han, Xiumin ; Zhang, Po ; Hou, Chuangju ; Zhu, Xian‐Yang</creator><creatorcontrib>Xiao, Jia‐Wang ; Wang, Qi‐Guang ; Zhang, Duan‐Zhen ; Cui, Chun‐Sheng ; Han, Xiumin ; Zhang, Po ; Hou, Chuangju ; Zhu, Xian‐Yang</creatorcontrib><description>Objective
To evaluate the clinical efficacy, safety, and long‐term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA).
Methods
Eighty‐five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if they met the criterion, surgical repair was performed on patients who were unsuitable or failed PC. Of them, 30 patients underwent PC, while the other 55 patients had surgical repair.
Results
RSVA was successfully occluded in 29 of 30 patients who were treated by PC. The mean narrowest diameter at the ruptured site was 6.45 ± 1.60 mm measured by aortography. One patient developed serious occluder‐related aortic regurgitation and underwent surgery. The success rate of the interventional approach was 96.7%. In the surgical group, 23 patients underwent repair of combined RSVA and ventricular septal defect. The hospital mortality rate of the surgical approach was 3.57%. During a median follow‐up of 83 months (8–152 months), the improvement in NYHA functional class in the PC group was significantly greater than those in the surgical group (P < .01). One patient died of infective endocarditis in the surgical group. There were no further serious complications.
Conclusions
PC is a safe alternative to surgical repair for patients with isolated RSVA. Surgical repair is more suitable for those who have multiple cardiac lesions requiring surgical treatment or failed PC.</description><identifier>ISSN: 1747-079X</identifier><identifier>EISSN: 1747-0803</identifier><identifier>DOI: 10.1111/chd.12572</identifier><identifier>PMID: 29399997</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>aneurysm ; Aneurysms ; Clinical outcomes ; Congenital diseases ; Lesions ; outcome ; Patients ; percutaneous ; surgery ; Valsalva</subject><ispartof>Congenital heart disease, 2018-03, Vol.13 (2), p.305-310</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-caaf25054d8c326b250e9f50becf9ff66038a5cef357196cb59948b0162fcbbd3</citedby><cites>FETCH-LOGICAL-c3532-caaf25054d8c326b250e9f50becf9ff66038a5cef357196cb59948b0162fcbbd3</cites><orcidid>0000-0003-1292-4430</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fchd.12572$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fchd.12572$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29399997$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiao, Jia‐Wang</creatorcontrib><creatorcontrib>Wang, Qi‐Guang</creatorcontrib><creatorcontrib>Zhang, Duan‐Zhen</creatorcontrib><creatorcontrib>Cui, Chun‐Sheng</creatorcontrib><creatorcontrib>Han, Xiumin</creatorcontrib><creatorcontrib>Zhang, Po</creatorcontrib><creatorcontrib>Hou, Chuangju</creatorcontrib><creatorcontrib>Zhu, Xian‐Yang</creatorcontrib><title>Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm</title><title>Congenital heart disease</title><addtitle>Congenit Heart Dis</addtitle><description>Objective
To evaluate the clinical efficacy, safety, and long‐term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA).
Methods
Eighty‐five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if they met the criterion, surgical repair was performed on patients who were unsuitable or failed PC. Of them, 30 patients underwent PC, while the other 55 patients had surgical repair.
Results
RSVA was successfully occluded in 29 of 30 patients who were treated by PC. The mean narrowest diameter at the ruptured site was 6.45 ± 1.60 mm measured by aortography. One patient developed serious occluder‐related aortic regurgitation and underwent surgery. The success rate of the interventional approach was 96.7%. In the surgical group, 23 patients underwent repair of combined RSVA and ventricular septal defect. The hospital mortality rate of the surgical approach was 3.57%. During a median follow‐up of 83 months (8–152 months), the improvement in NYHA functional class in the PC group was significantly greater than those in the surgical group (P < .01). One patient died of infective endocarditis in the surgical group. There were no further serious complications.
Conclusions
PC is a safe alternative to surgical repair for patients with isolated RSVA. Surgical repair is more suitable for those who have multiple cardiac lesions requiring surgical treatment or failed PC.</description><subject>aneurysm</subject><subject>Aneurysms</subject><subject>Clinical outcomes</subject><subject>Congenital diseases</subject><subject>Lesions</subject><subject>outcome</subject><subject>Patients</subject><subject>percutaneous</subject><subject>surgery</subject><subject>Valsalva</subject><issn>1747-079X</issn><issn>1747-0803</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kE9PwyAYxonRuDk9-AVMEy966EahtOVo6p-ZmHhR48GEUArahZYJRbNvL1s3Dya-B96HN7_3CTwAnCZwmoSaiY96miCSoz0wTvI0j2EB8f5O5_R1BI6cW0CYZjgvDsEIUUxD5WPwVuqmawTXkfG9MK10kVHRUlrhe95J48PdRs7b9w0ktAlarhnrl32QdeSazm-2Xrh2XH_xKCx6u3LtMThQYSZPtn0Cnm9vnsp5_PB4d19ePcQCE4xiwblCBJK0LgRGWRW0pIrASgpFlcoyiAtOhFSY5AnNREUoTYsKJhlSoqpqPAEXg-_Smk8vXc_axgmp9fADlgQeZ-HEAT3_gy6Mt114HUMQEYxxTmigLgdKWOOclYotbdNyu2IJZOvIWYicbSIP7NnW0VetrH_JXcYBmA3Ad6Pl6n8nVs6vB8sfG0WLkw</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Xiao, Jia‐Wang</creator><creator>Wang, Qi‐Guang</creator><creator>Zhang, Duan‐Zhen</creator><creator>Cui, Chun‐Sheng</creator><creator>Han, Xiumin</creator><creator>Zhang, Po</creator><creator>Hou, Chuangju</creator><creator>Zhu, Xian‐Yang</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>JQ2</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1292-4430</orcidid></search><sort><creationdate>201803</creationdate><title>Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm</title><author>Xiao, Jia‐Wang ; Wang, Qi‐Guang ; Zhang, Duan‐Zhen ; Cui, Chun‐Sheng ; Han, Xiumin ; Zhang, Po ; Hou, Chuangju ; Zhu, Xian‐Yang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-caaf25054d8c326b250e9f50becf9ff66038a5cef357196cb59948b0162fcbbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>aneurysm</topic><topic>Aneurysms</topic><topic>Clinical outcomes</topic><topic>Congenital diseases</topic><topic>Lesions</topic><topic>outcome</topic><topic>Patients</topic><topic>percutaneous</topic><topic>surgery</topic><topic>Valsalva</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiao, Jia‐Wang</creatorcontrib><creatorcontrib>Wang, Qi‐Guang</creatorcontrib><creatorcontrib>Zhang, Duan‐Zhen</creatorcontrib><creatorcontrib>Cui, Chun‐Sheng</creatorcontrib><creatorcontrib>Han, Xiumin</creatorcontrib><creatorcontrib>Zhang, Po</creatorcontrib><creatorcontrib>Hou, Chuangju</creatorcontrib><creatorcontrib>Zhu, Xian‐Yang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Congenital heart disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiao, Jia‐Wang</au><au>Wang, Qi‐Guang</au><au>Zhang, Duan‐Zhen</au><au>Cui, Chun‐Sheng</au><au>Han, Xiumin</au><au>Zhang, Po</au><au>Hou, Chuangju</au><au>Zhu, Xian‐Yang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm</atitle><jtitle>Congenital heart disease</jtitle><addtitle>Congenit Heart Dis</addtitle><date>2018-03</date><risdate>2018</risdate><volume>13</volume><issue>2</issue><spage>305</spage><epage>310</epage><pages>305-310</pages><issn>1747-079X</issn><eissn>1747-0803</eissn><abstract>Objective
To evaluate the clinical efficacy, safety, and long‐term outcomes of percutaneous closure (PC) and surgical repair of ruptured sinus of Valsalva aneurysm (RSVA).
Methods
Eighty‐five consecutive patients with RSVA were included in this study. Patients were considered candidates for PC if they met the criterion, surgical repair was performed on patients who were unsuitable or failed PC. Of them, 30 patients underwent PC, while the other 55 patients had surgical repair.
Results
RSVA was successfully occluded in 29 of 30 patients who were treated by PC. The mean narrowest diameter at the ruptured site was 6.45 ± 1.60 mm measured by aortography. One patient developed serious occluder‐related aortic regurgitation and underwent surgery. The success rate of the interventional approach was 96.7%. In the surgical group, 23 patients underwent repair of combined RSVA and ventricular septal defect. The hospital mortality rate of the surgical approach was 3.57%. During a median follow‐up of 83 months (8–152 months), the improvement in NYHA functional class in the PC group was significantly greater than those in the surgical group (P < .01). One patient died of infective endocarditis in the surgical group. There were no further serious complications.
Conclusions
PC is a safe alternative to surgical repair for patients with isolated RSVA. Surgical repair is more suitable for those who have multiple cardiac lesions requiring surgical treatment or failed PC.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29399997</pmid><doi>10.1111/chd.12572</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1292-4430</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; Tech Science Press; EZB-FREE-00999 freely available EZB journals |
| subjects | aneurysm Aneurysms Clinical outcomes Congenital diseases Lesions outcome Patients percutaneous surgery Valsalva |
| title | Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm |
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