Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?

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dc.contributor.authorDiwakar, Anithaen_US
dc.contributor.authorPatnaik, Sathya Swaroopen_US
dc.contributor.authorHiremath, Channabasavaraj Sen_US
dc.contributor.authorChalam, Kolli Sen_US
dc.contributor.authorDash, Parvatkumaren_US
dc.date.accessioned2019-12-02T09:43:54Z
dc.date.available2019-12-02T09:43:54Z
dc.date.issued2019-01
dc.description.abstractBackground: We reviewed our experience with ruptured sinus of Valsalva aneurysms (RSOV) to determine a correlation with preexisting heart failure (HF) and coexisting cardiac lesions (aortic regurgitation [AR] and ventricular septal defect [VSD]) to postoperative left ventricular (LV) dysfunction and postoperative outcomes. Materials and Methods: Retrospective review of RSOV cases over 15 years showed that RSOV repair was done in 87 patients. We looked for patients who presented with HF and patients having AR and/or VSDs. Statistical analysis was done to see if the coexisting lesions and preoperative HF were associated with postoperative LV dysfunction. Chi-square test was used on contingency table for statistical analysis. Complications in the postoperative period and prolonged Intensive Care Unit stay were noted. Results: 17% (15/87) presented with HF. Fifty-two patients had moderate to severe AR and 50 patients had VSD. Seventeen patients had postoperative LV dysfunction. The correlation of preoperative HF and coexisting lesions with postoperative LV dysfunction was not statistically significant. Two patients underwent redo surgery for residual RSOV and AR. Two patients had arrhythmias. One patient had cerebrovascular accident. No mortality was seen in the study. Conclusion: Preoperative HF and the presence of VSD and/or AR have no statistical significant correlation with postoperative LV dysfunction. As the outcome of RSOV repair is good, all patients need to undergo early repair to avoid complications.en_US
dc.identifier.affiliationsDepartment of Cardiac Anesthesia, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Cardio Thoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, Indiaen_US
dc.identifier.citationDiwakar Anitha, Patnaik Sathya Swaroop, Hiremath Channabasavaraj S, Chalam Kolli S, Dash Parvatkumar. Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?. Annals of Cardiac Anaesthesia. 2019 Jan; 22(1): 24-29en_US
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185808
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume22en_US
dc.source.uridx.doi.org/10.4103/aca.ACA_243_17en_US
dc.subjectAortic regurgitationen_US
dc.subjectheart failureen_US
dc.subjectoutcomesen_US
dc.subjectruptured sinus of Valsalva aneurysmen_US
dc.subjectventricular dysfunctionen_US
dc.subjectventricular septal defectsen_US
dc.titleRupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?en_US
dc.typeJournal Articleen_US
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