Congenital aneurysm of the left sinus of Valsalva. Report of a patient with 19-year survival without surgery.
An unruptured aneurysm of the left sinus of Valsalva was diagnosed by angiography in a 16-year-old male subject 19 years ago. A recent repeated angiographic study documented no change in the aneurysm over the 19-year interval, and the patient has remained asymptomatic. We are aware of no other long-term follow-up reports of patients with this lesion who have not had surgical correction. This case emphasizes the controversy regarding the need for prophylactic surgical correction of an unruptured aneurysm.
D000328:Adult; D001014:Aortic Aneurysm / Q000151:congenital* / Q000000981:diagnostic imaging / Q000473:pathology; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011859:Radiography; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging