Thorac Cardiovasc Surg 2013; 61(04): 323-326
DOI: 10.1055/s-0031-1295578
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Modified Repair for Huge Unruptured Aneurysm of the Right Sinus of Valsalva

Yijie Hu
1   Department of Cardiovascular Surgery, Daping Hospital, Third Military Medical University, Chongqing, China
,
Jianming Chen
1   Department of Cardiovascular Surgery, Daping Hospital, Third Military Medical University, Chongqing, China
,
Qianjin Zhong
1   Department of Cardiovascular Surgery, Daping Hospital, Third Military Medical University, Chongqing, China
› Author Affiliations
Further Information

Publication History

04 June 2011

18 July 2011

Publication Date:
03 January 2012 (online)

Abstract

Unruptured aneurysm of the sinus of Valsalva is a rare abnormality. In the present case, the huge aneurysm of the sinus of Valsalva was only involved in the right coronary sinus with the ostium far from its normal place. We designed a modified repair technique, with a scalloped Intergard woven vascular patch combined with aortic flap, to reconstruct the sinus of Valsalva and avoid the reimplantation of right coronary artery.

 
  • References

  • 1 Hong JH, Kayalar N, Spittell PC, Park SJ. Geometric reconstruction of the sinus of Valsalva: utilization of the porcine aortic root. Ann Thorac Surg 2009; 88 (6) 2025-2027
  • 2 Joshi P, Garlick B, Dunning J. Modified root reconstruction methods to treat unruptured aneurysm of sinus of valsalva (UASOV)—two case reports. Heart Lung Circ 2006; 15 (6) 389-392
  • 3 De Paulis R, Scaffa R, Forlani S, Chiariello L. The Valsalva graft in aortic valve repair and replacement. Multimed Man Cardiothorac Surg 2005; 1129: 992
  • 4 Underwood MJ, El Khoury G, Deronck D, Glineur D, Dion R. The aortic root: structure, function, and surgical reconstruction. Heart 2000; 83 (4) 376-380
  • 5 de Paulis R, Tomai F, Bertoldo F , et al. Coronary flow characteristics after a Bentall procedure with or without sinuses of Valsalva. Eur J Cardiothorac Surg 2004; 26 (1) 66-72