Geographical variations in the presentation of XXXX : evaluation of surgical repair.

@entity1 @entity154 @entity1757 @entity397 @entity337 @entity299 @entity118 @entity1756
From 1981 to 1992, 13 male and 7 female @entity1 underwent surgical correction for @entity1756 . A total surgical experience of 22 procedures including 2 reoperations is presented, accounting for 1.37% of open heart surgery for @entity299 at PGIMER Chandigarh. Ninety percent were in the 20- to 40-year age group. Forty-five percent of @entity1 had symptoms of > 1-year duration (range 2 months to 20 years) and catastrophic onset of symptoms was noted in four (18%). All @entity1 had localized aneurysms originating either in right coronary sinus (14 pts) or noncoronary sinus (8 pts). Sites of origin and @entity397 are detailed. Associated @entity154 such as @entity1757 ( @entity1757 ) (13 pts), @entity337 (3 pts), and left superior vena cava and @entity118 ( @entity118 ) (1 pt each) were noted. The data pertaining to Oriental and Western groups of @entity1 were analyzed, and the differences in age, mode of presentation, site of origin, @entity397 , and the spectrum of associated abnormalities were elucidated. The majority of the @entity1 (86.4%) were operated by the Bicameral approach. Repair was tailored according to the extent and severity of the defect in the sinus of Valsalva and aortic valve annulus and also the presence and site of @entity1757 .
