Patch Repair of an Isolated Right Sinus of Valsalva Aneurysm

Abstract

Isolated aneurysm of the sinus of Valsalva is an uncommon problem. It is more likely to occur in the noncoronary or right coronary sinus. Most case reports and series we found in the literature showed that the diagnosis is usually accidental, and surgical repair provides a long-lasting resolution. In this report we present a case of an aneurysm of the right coronary sinus and its management.

Surgical Management of Giant Left Sinus of Valsalva Aneurysm Causing Left Anterior Descending Coronary Artery Occlusion

“…(Ann Thorac Surg 2017;104:e27-9) Ó 2017 by The Society of Thoracic Surgeons S inus of Valsalva aneurysm (SVA) is uncommon, having an incidence of approximately 0.1% to 3% in patients undergoing cardiac surgical procedures [1]. In recent years, SVA has occasionally been reported.…”

Surgical Management of Left Sinus of Valsalva Aneurysm Presenting with Exertional Chest Pain

“…SVAs are rare cardiac disorders in Western countries (0,1-3%), but its incidence has been reported five times greater in Asians [ 2 , 3 ] . Congenital defects may play a role in aortic tissue elasticity.…”

Ruptured Coronary Sinus of Valsalva in the Setting of a Supracristal Ventricular Septal Defect

“…SOVA can be classified as congenital when there is a deficiency of lamina elastica and muscular tissue surrounding the aorta or there is the presence of an acquired weakness of the aforementioned structures. 5,6 They frequently co-occur with ventricular septal defects, aortic valve dysfunction, or other cardiac abnormalities. Although unruptured ASVs are usually asymptomatic, ruptured ASVs often cause symptoms similar to those of heart failure and produce a continuous, mechanical-sounding murmur.…”

“…4 Rupture typically occurs in 30% of the patients, with 30-40% of ruptures occurring between 20 and 40 years of age. 1,6,10 Traditionally, TTE and TEE are the initial diagnostic tests for SOVA. 11,12 Both techniques can assess for a shunt; however, they lack sensitivity in detecting shunts less than 3 millimeters.…”