Huge sinus of Valsalva aneurysm causing mitral valve incompetence.
We describe a case of a large sinus of Valsalva aneurysm originating from the noncoronary sinus. The aneurysm compressed the roof of the left atrium rendering the annulus and the anterior leaflet of the mitral valve severely distorted and, as a result, incompetent. The neck of the aneurysm was closed with a patch from the side of the aortic sinus, but we had to replace the mitral valve as the distorted structure did not resume its original shape even though we opened the aneurysm and debrided all thrombotic material inside the aneurysm.
Baek
Wan Ki
WK
Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, South Korea. wkbaek@inha.ac.kr
Kim
Joung Taek
JT
Yoon
Yong Han
YH
Kim
Kwang Ho
KH
Kwan
Jun
J
D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D012850:Sinus of Valsalva