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Thorac Cardiovasc Surg 1985; 33(2): 125-127
DOI: 10.1055/s-2007-1014103
Case Report

© Georg Thieme Verlag Stuttgart · New York

Congenital Aneurysm of the Sinus of Valsalva. Surgical Repair in an Infant

P. Bastos, A. Sousa, J. C. Areias, D. Cunha, M. R. Gomes
  • Department of Thoracic Surgery and Department of Cardiology, Hospital de S. Joao, Porto, Portugal
Further Information

Publication History

1985

Publication Date:
19 March 2008 (online)

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Summary

We report the case of a 5-month-old infant with cardiac failure and an unruptured aneurysm of the right coronary sinus of Valsalva. Emphasis is put on the diagnostic value of the echocardiogram. Cardiac failure was probably due to a combination of aortic regurgitation and compression of the out-flow tract of the right ventricle. The surgical approach is discussed. The defect was repaired through an aortotomy. The aneurysmal sac was resected and an aortic valvuloplasty was performed. Twelve months postoperatively the patient continues to be asymptomatic; an aortic root angiogram shows only trivial aortic insufficiency.

Key words

Sinus of Valsalva aneurysms - Congenital heart disease