INTRODUCTION: @entity439 and @entity292 (ASV; @entity21829 ) are rare aortic pathologies and present in only a few percent of @entity1 with aorta and/or left @entity455 . Etiology of ASV and FVS is congenital and acquired. MATERIALS AND METHODS: 40 @entity1 (pts) were operated on in the Department of Cardiovascular Surgery and Transplantology from 1978 to 2002 due to pathology of Valsalva sinus (< 1% of all operations in ECC). 18 pts were diagnosed with @entity439 and 22 with its @entity292 . Inflammatory etiology was confirmed in 22 pts (5%). Most common pathology was localized in the right and/or coronary lacking Valsalva sinus (30 pts-75%). @entity21829 penetrated into the right atrium or ventricle in 20 pts (91%). Among accompanying pathologies @entity337 was most frequently found. In 80% of pts with ASV aortic allografts were implanted. In 70% of pts with @entity21829 , @entity292 was sutured with interrupted pledgeted mattress sutures. @entity154 were corrected simultaneously. Mechanical aortic valve was implanted in 9 pts. RESULTS: 2 pts died in the early post-operative period and 3 in the follow up. Reoperation (with good results) was performed in 4 pts. At discharge all pts were in NYHA I/II except 1 pt in NYHA III. Objective estimation of @entity1 's cardiopulmonary sufficiency did not differ from the subjective one. 24 pts performed normal life activities after operation. The echocardiography confirmed effectiveness of surgical treatment. CONCLUSION: 1. ASV and @entity21829 require different surgical techniques. 2. Surgical treatment efficiently reduced symptoms. 3. Allografts were found very useful. 4. @entity154 should be treated simultaneously.

[Surgical treatment of @entity439 and XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity154 :: ('MESH:D000013', 'Disease') :: ['Accompanied anomalies', 'Accompanying anomalies'] @entity455 :: ('MESH:D014652', 'Disease') :: ['arterial orifice disease'] @entity21829 :: ('39420', 'Species') :: ['FSV'] @entity439 :: ('MESH:D000783', 'Disease') :: ['Valsalva sinus aneurysm', 'Valsalva sinus aneurysms'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistulas', 'fistula'] @entity337 :: ('MESH:D001022', 'Disease') :: ['aortic valve insufficiency']
@entity292 :: (MESH:D005402,Disease) :: ['fistulas']
