title: [Rupture of the aneurysm of the sinus valsalva: thirteen years after the initial diagnosis].
abstract: We report a case of an unruptured aneurysm of the sinus Valsalva (URASV) which was followed thirteen years without surgery. A 47-year-old female had a heart murmur detected at age 34 during pregnancy. Though an URASV was diagnosed, because the aneurysm was less than 1 cm in size, no surgery was advised at that time. Thirteen years later, she gradually noticed of increased heart beats and also dyspnea on exertion. Echocardiogram showed an aneurysm of the sinus Valsalva ruptured to the RV cavity. In June 1994, resection of the aneurysm was performed. One year later, the patient was asymptomatic. This may be the second longest long-term follow-up report of the patient with an unruptured aneurysm of the sinus Valsalva.
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rohsai Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Shida
authors.forename: N
authors.initials: N
authors.lastname: Wakita
authors.forename: H
authors.initials: H
authors.lastname: Nohara
authors.forename: M
authors.initials: M
authors.lastname: Sakata
mesh_terms: D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva; D013997:Time Factors