P293. Rupture Sinus of Valsalva Repair Via a Mini-sternotomy
Presented During: POD Abstracts (Available for viewing in the exhibit hall for the duration of the meeting)
King Abdulaziz University
Jeddah, CA
Saudi Arabia - Contact Me
I'm a congenital cardiac surgeon. I compelted residency training and fellowship at the University of Toronto, Toronto, Canada. Subsequently, I worked at the Hospital for Sick Children, Toronto, Canada and then moved to King Abdulaziz Univesity Hsopital and King Faisal Specialist Hsopital, Jeddah, Saudi Arabia. I'm currently a Professor of Surgery at UCLA, Los Angeles, CA and Children's Hospital of Orange County, CA.
My main areas or interest are neonatal complete repait, valve repair and connective tissue disorders.
Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square
Room: Central Park
Description
Rupture Sinus of Valsalva Repair Via a Mini-sternotomy
Osman Osama AL-Radi, MD, MSc, FRCSC1, Ragab Shehata Debis, MD1,
Ahmed Abdulrahman Elassal MD1.
(1) King Abdulaziz University, Department of surgery, Cardiac Surgery Unit, Jeddah, Saudi Arabia
Objective: Demonstration of a Ruptured sinus of Valsalva Repair via a mini-sternotomy by an intraoperative video
Case Video Summary:
A29-year-old male with a sub-arterial ventricular septal defect and rupture of sinus of Valsalva leading to an aortic to right ventricular fistula. He was admitted for urgent repair.
An upper mini-sternotomy was done. The pericardium was opened. The aorta and RA were cannulated. CPB was started. The aorta was clamped. Cardioplegia was given. A vent was placed in the RUPV to the LV. The aorta was incised. The aneurysmal tissue in the right sinus of Valsalva was excised. The VSD was closed with a patch of equine pericardium. Another equine patch was used to closed the aorta to RV fistula. The right cusp was resuspended with a commissural stich in the right to left commissure. A post operative echocardiogram showed a complete repair of the ventricular septal defect and a functioning aortic valve with trace insufficiency.
The patient had an uneventful hospital course and was discharge home on the 7th post operative day.
Conclusions:
Ruptured sinus of Valsalva can be repaired safely through a mini-sternotomy approach
Authors
Osman Al-Radi (1), ragab Debis (2), Ahmed Elassal (3)
Institutions
(1) King Abdulaziz University Hospital, Jeddah, Makkah, saudi arabia, (2) King Abdulaziz University, Jeddah, Makkah, saudi arabia, (3) King Abdulaziz University, Jeddah, Makkah, Saudi Arabia
Osman Osama AL-Radi, MD, MSc, FRCSC1, Ragab Shehata Debis, MD1,
Ahmed Abdulrahman Elassal MD1.
(1) King Abdulaziz University, Department of surgery, Cardiac Surgery Unit, Jeddah, Saudi Arabia
Objective: Demonstration of a Ruptured sinus of Valsalva Repair via a mini-sternotomy by an intraoperative video
Case Video Summary:
A29-year-old male with a sub-arterial ventricular septal defect and rupture of sinus of Valsalva leading to an aortic to right ventricular fistula. He was admitted for urgent repair.
An upper mini-sternotomy was done. The pericardium was opened. The aorta and RA were cannulated. CPB was started. The aorta was clamped. Cardioplegia was given. A vent was placed in the RUPV to the LV. The aorta was incised. The aneurysmal tissue in the right sinus of Valsalva was excised. The VSD was closed with a patch of equine pericardium. Another equine patch was used to closed the aorta to RV fistula. The right cusp was resuspended with a commissural stich in the right to left commissure. A post operative echocardiogram showed a complete repair of the ventricular septal defect and a functioning aortic valve with trace insufficiency.
The patient had an uneventful hospital course and was discharge home on the 7th post operative day.
Conclusions:
Ruptured sinus of Valsalva can be repaired safely through a mini-sternotomy approach
Authors
Osman Al-Radi (1), ragab Debis (2), Ahmed Elassal (3)
Institutions
(1) King Abdulaziz University Hospital, Jeddah, Makkah, saudi arabia, (2) King Abdulaziz University, Jeddah, Makkah, saudi arabia, (3) King Abdulaziz University, Jeddah, Makkah, Saudi Arabia
Presentation Duration
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