Direct closure of an asymptomatic right coronary sinus of Valsalva aneurysm

Abstract

A 52-year-old man was referred for evaluation of palpitation. Transthoracic echocardiography revealed an extracardiac aneurysm of the right coronary sinus of Valsalva, and normal anatomy of the aortic valve with no regurgitation. Three-dimensional computed tomography confirmed the aneurysm with a diameter of 21 × 13.7 mm arising from the right coronary sinus of Valsalva under the right coronary artery. Surgical repair was performed without changing the normal anatomy of the aortic valve, preserving the right coronary ostium. Intraoperative and postoperative echocardiography showed complete closure of the aneurysm with normal functioning of the aortic valve.

Patch Repair of an Isolated Right Sinus of Valsalva Aneurysm

“…TEE is likely the most valuable in identifying the origin and possibility of involvement of e200 CASE REPORT the surrounding structures. Repair or replacement of the aortic valve will be required if there is involvement of the valve leaflets with resultant functional impairment [3], Involvement of the right coronary artery has also been reported, with the need for reimplantation or bypass during aneurysmal repair. Surgical repair remains the mainstay of treatment for these patients, even if they are asymptomatic.…”

“…Surgical repair remains the mainstay of treatment for these patients, even if they are asymptomatic. Direct closure has been reported in small defects, and patch repair is preferred in larger defects to achieve tension-free repair [1,[3][4][5]. Endovascular interventions have also been reported with success in defects smaller than 0.8 cm [2].…”