title: Aortic root reimplantation for isolated sinus of valsalva aneurysm in the patient with Marfan's syndrome.
abstract: We describe an isolated extracardiac unruptured acquired aneurysm in the right coronary sinus of Valsalva, which was seen in a 55-year-old woman with Marfan's syndrome. The patient underwent aortic root replacement using a reimplantation technique. Pathologic examination revealed absence of the medial elastic fiber of the aortic wall of the normal sinus of Valsalva. This result supports the preference of entire root replacement instead of patch repair of the affected sinus for the isolated aneurysm in 1 sinus of Valsalva in a patient with Marfan's syndrome.
authors.affiliation: Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Himeji, Japan. knakagiri@hbhc.jp
authors.forename: Keitaro
authors.initials: K
authors.lastname: Nakagiri
authors.forename: Tasuku
authors.initials: T
authors.lastname: Kadowaki
authors.forename: Naoto
authors.initials: N
authors.lastname: Morimoto
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Murakami
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshida
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukohara
mesh_terms: D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000601:surgery*