RUPTURED ANEURYSM SINUS OF VALSALVA AND GERBODE DEFECT WITH SEVERE TRICUSPID AND AORTIC REGURGITATION - A CASE-REPORT AND ITS SURGICAL-CORRECTION

An unusual early, childhood presentation in a case with ruptured non-c oronary sinus of Valsalva aneurysm with Gerbode defect and severe pulm onary hypertension is described, The reasons for early rupture are dis cussed and anatomically important relations of membranous septum, fibr oskeleton of heart and conduction system are schematically elucidated. Associated severe tricuspid and aortic regurgitation are explained to be secondary effects following the rupture of aneurysm, A technique o f surgical correction of this rare association of anomalies using sing le PTFE patch is illustrated, cautiously safeguarding the closely rela ted conduction system, Regurgitant aortic and tricuspid valves were al so successfully repaired, In retrospect, early repair before rupture o f aneurysm and onset of severe pulmonary hypertension may be more bene ficial, which would also prevent the leakage of semilunar and atrioven tricular valves.