Endoaneurysmal repair of a congenital right coronary sinus aneurysm.
An 82-year-old woman complained of lightheadedness, dizziness, syncope, palpitations, and chest pains of 2 years' duration. Chest X-ray demonstrated cardiomegaly, while transesophageal echocardiography (TEE) disclosed an aneurysm of the right coronary sinus (RCS), 6 x 6 cm in diameter, filled with clots and obstructing the right ventricular (RV) outflow tract. A total cardiopulmonary bypass was instituted with hypothermia to 28 degrees C esophageal temperature. After removing the clots, we applied an endoaneurysmal repair with a synthetic patch to the entry of the aneurysm and closed the aneurysm itself. We recommend our approach of an endoaneurysmal repair for similar aneurysms of the coronary sinus of Valsalva.
Olearchyk
A S
AS
Section of Cardiothoracic Surgery, Episcopal Hospital, Philadelphia, Pennsylvania, USA.
Grasso
M A
MA
Danielewski
G L
GL
D000368:Aged; D001014:Aortic Aneurysm / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D012850:Sinus of Valsalva; D013536:Suture Techniques