Alternative surgical approach to repairing a giant sinus of valsalva aneurysm
- Authors: Giambruno V.; Cucchietti C.; Pisano C.; Hyde J.
- Publication year: 2016
- Type: Articolo in rivista
- OA Link: http://hdl.handle.net/10447/634416
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.