Publication Date

2-1-2016

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-15-5108

PMID

27047284

Publication Date(s)

February 2016

Language

English

PMCID

PMC4810584

PubMedCentral® Posted Date

2-1-2016

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Aortic aneurysm/diagnosis/surgery, heart valve prosthesis implantation, sinus of Valsalva/pathology/surgery, surgical techniques, treatment outcome

Abstract

We report our method of surgically repairing an unruptured giant aneurysm of the right coronary sinus of Valsalva, a lesion that caused moderate aortic regurgitation but no symptoms in a 61-year-old woman. We excised the aneurysm, reconstructed the right sinus of Valsalva with use of a patch, performed mechanical aortic valve replacement directly through the excised aneurysm's cavity, and constructed a single bypass graft to the right coronary artery. The patient was discharged from the hospital after 5 days. Twelve months postoperatively, her clinical and echocardiographic results were normal, and she was doing well. To our knowledge, our surgical approach to this repair has not been described previously.

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