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Gen Thorac Cardiovasc Surg · Mar 2009
Case ReportsRare type of congenital aneurysm of the right sinus of Valsalva protruding superiorly into the pericardial space.
- Manabu Watanabe, Mitsuru Aoki, and Tadashi Fujiwara.
- Unit of Cardiovascular Surgery, Chiba Children's Hospital, 579-1 Heta-cho, Midori-ku, Chiba, Chiba, Japan. dookuman@beige.ocn.ne.jp
- Gen Thorac Cardiovasc Surg. 2009 Mar 1; 57 (3): 151-2.
AbstractWe report a rare type of aneurysm of the sinus of Valsalva. The orifice of the aneurysm was in the right sinus of Valsalva and protruded superiorly, which is a direction not typical of right sinus of Valsalva aneurysms. Intraoperatively, it became clear that the aneurysm was located in the right sinus of Valsalva with extracardiac protrusion. Inspection through the aortotomy revealed that the orifice of the aneurysm opened between the orifice of the right coronary artery and the commissure between the right and left coronary cusps. The aneurysm was obliterated with a pledgeted suture from outside the orifice of the aneurysm. Early prophylactic surgical treatment of the aneurysm makes the operation simple and prevents subsequent development of complications, such as compression of the coronary artery, thrombosis, and/or spontaneous rupture.
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