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
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
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.