Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?
Background: 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...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=1;spage=24;epage=29;aulast=Diwakar |
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| author | Anitha Diwakar Sathya Swaroop Patnaik Channabasavaraj S Hiremath Kolli S Chalam Parvatkumar Dash |
| author_facet | Anitha Diwakar Sathya Swaroop Patnaik Channabasavaraj S Hiremath Kolli S Chalam Parvatkumar Dash |
| author_sort | Anitha Diwakar |
| collection | DOAJ |
| description | Background: 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. |
| first_indexed | 2024-12-12T09:23:39Z |
| format | Article |
| id | doaj.art-0e1df5d11afb4c04b4449cdd5dbb2c0b |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-12T09:23:39Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-0e1df5d11afb4c04b4449cdd5dbb2c0b2022-12-22T00:29:06ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842019-01-01221242910.4103/aca.ACA_243_17Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome?Anitha DiwakarSathya Swaroop PatnaikChannabasavaraj S HiremathKolli S ChalamParvatkumar DashBackground: 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.http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=1;spage=24;epage=29;aulast=DiwakarAortic regurgitationheart failureoutcomesruptured sinus of Valsalva aneurysmventricular dysfunctionventricular septal defects |
| spellingShingle | Anitha Diwakar Sathya Swaroop Patnaik Channabasavaraj S Hiremath Kolli S Chalam Parvatkumar Dash 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 Aortic regurgitation heart failure outcomes ruptured sinus of Valsalva aneurysm ventricular dysfunction ventricular septal defects |
| title | Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome? |
| title_full | Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome? |
| title_fullStr | Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome? |
| title_full_unstemmed | Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome? |
| title_short | Rupture of sinus of valsalva – A 15 years single institutional retrospective review: Preoperative heart failure has an impact on post operative outcome? |
| title_sort | rupture of sinus of valsalva a 15 years single institutional retrospective review preoperative heart failure has an impact on post operative outcome |
| topic | Aortic regurgitation heart failure outcomes ruptured sinus of Valsalva aneurysm ventricular dysfunction ventricular septal defects |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=1;spage=24;epage=29;aulast=Diwakar |
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