title: Surgical repair of postoperative left sinus of Valsalva aneurysm dissecting into the interventricular septum.
abstract: We describe the dissection of the interventricular septum by unruptured aneurysm of the left sinus of Valsalva in a patient who had undergone aortic valve replacement for rheumatic aortic valve insufficiency 5 years previously. The patient had worn a permanent pacemaker for 1 year to manage complete atrioventricular block. Sufficient information was provided by echocardiography and aortography to confirm the diagnosis. Operative correction consisted of obliteration of the aneurysm sac and closure of the outward orifice with a Dacron patch from the side of the aortic sinus.
authors.affiliation: Department of Cardiovascular Surgery, Yüzüncü Yil University, School of Medicine, Van, Turkey. vkutay@yahoo.com
authors.forename: Veysel
authors.initials: V
authors.lastname: Kutay
authors.forename: Hasan
authors.initials: H
authors.lastname: Ekim
authors.forename: Cevat
authors.initials: C
authors.lastname: Yakut
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery; D002315:Cardiopulmonary Bypass; D005221:Fatigue / Q000209:etiology; D006327:Heart Block / Q000150:complications / Q000628:therapy; D006346:Heart Septum / Q000473:pathology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012214:Rheumatic Heart Disease / Q000601:surgery; D012850:Sinus of Valsalva / Q000473:pathology / Q000601:surgery*; D013526:Surgical Mesh; D013575:Syncope / Q000209:etiology
chemical_list: D011093:Polyethylene Terephthalates