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.
Department of Cardiothoracic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. mhines@wfubmc.edu
Michael H
MH
Hines
Neal D
ND
Kon
D000328:Adult; D001014:Aortic Aneurysm / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012850:Sinus of Valsalva / Q000601:surgery*; D014184:Transplantation, Homologous