Sinus of Valsalva aneurysm repair with partial allograft, and 10-year follow-up.
Sinus of Valsalva aneurysms are rare congenital or acquired defects that frequently are manifested by rupture into adjacent cardiac structures. Most aneurysms involve a portion of the sinus, and can be surgically treated with primary or patch closure of the defect. We present a case report of a giant aneurysm that involved the entire noncoronary sinus of Valsalva, and describe a previously unreported technique with 10-year follow-up using a partial aortic allograft to reconstruct the abnormal aortic sinus, preserving the native valve leaflets and normal sinus geometry and averting use of prosthetic materials.
Hines
Michael H
MH
Department of Cardiothoracic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. mhines@wfubmc.edu
Kon
Neal D
ND
D000328:Adult; D001014:Aortic Aneurysm / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012850:Sinus of Valsalva / Q000601:surgery*; D014184:Transplantation, Homologous