title: Isolated extracardiac unruptured sinus of Valsalva aneurysms.
abstract: Reports concerning unruptured, isolated aneurysms of one sinus of Valsalva are rare. These aneurysms usually protrude inside the heart and are very rarely extracardiac. We report 4 cases of isolated, unruptured extracardiac aneurysms of the noncoronary sinus of Valsalva. Clinical symptoms were nonspecific. Operation was performed by patch reconstruction of the dilated aortic sinus without replacement of the ascending aorta. Microscopic examination of the diseased aortic wall revealed absence of medial elastic fibers. Late follow-up in all 4 cases revealed a normal ascending aorta with no dilatation of the aortic root and no aortic regurgitation.
authors.affiliation: Department of Cardiovascular Surgery, Hôpital Broussais, Paris, France.
authors.forename: V A
authors.initials: VA
authors.lastname: Jebara
authors.forename: S
authors.initials: S
authors.lastname: Chauvaud
authors.forename: M
authors.initials: M
authors.lastname: Portoghese
authors.forename: M S
authors.initials: MS
authors.lastname: Uva
authors.forename: C
authors.initials: C
authors.lastname: Acar
authors.forename: A
authors.initials: A
authors.lastname: Farge
authors.forename: P
authors.initials: P
authors.lastname: Dervanian
authors.forename: A
authors.initials: A
authors.lastname: Sarkis
authors.forename: P
authors.initials: P
authors.lastname: Bruneval
authors.forename: J N
authors.initials: JN
authors.lastname: Fabiani
mesh_terms: D001014:Aortic Aneurysm / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012850:Sinus of Valsalva