Repair of ruptured sinus of valsalva aneurysm: Determinants of long-term survival

Background. Ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly and long-term survival after surgical treatment is not well established. This study was designed to investigate the determinants of long-term survival after repair of ruptured sinus of Valsalva aneurysm. Methods. From April 1978 to April 1996, 53 patients underwent operation for ruptured sinus of Valsalva aneurysm. The incidence among our cardiac surgical population was 0.56%. Long-term survival was investigated in 46 patients (13 to 65 years) who survived the operation, with 96.2% follow-up completeness (mean ± standard deviation, 6.5 ± 4.9 years; maximum, 17.2 years), by univariate and multivariate analyses. Results. There was no early operative death and no recurrence after the initial repair. Actuarial survival was 83.8% ± 8.4% at 15 years. Reoperation, aneurysm draining into the left ventricle, aortic prosthetic dehiscence, bacterial endocarditis, and aortic cross-clamp time (