title: Massive sinus of Valsalva aneurysm presenting with coronary insufficiency.
abstract: A 50-year-old man with a massive acquired sinus of Valsalva aneurysm presenting with coronary insufficiency is presented. Annuloaortic ectasia and severe aortic insufficiency mandated composite aortic valve and root replacement, with reimplantation of the coronary arteries. Clinical characteristics, treatment principles, and surgical outcomes are described.
authors.affiliation: Division of Cardiothoracic Surgery, Presbyterian University Hospital, University of Pittsburgh Medical Center, Pennsylvania 15213, USA.
authors.forename: F A
authors.initials: FA
authors.lastname: Pigula
authors.forename: B P
authors.initials: BP
authors.lastname: Griffith
authors.forename: R L
authors.initials: RL
authors.lastname: Kormos
mesh_terms: D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000473:pathology; D003327:Coronary Disease / Q000175:diagnosis*; D003331:Coronary Vessels / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva