title: Partial aortic root replacement for aneurysm of the right sinus of Valsalva.
abstract: An aneurysm of the sinus of Valsalva is clinically rare, and its operative indications and procedures are controversial. We herein report the rare case of a 68-year-old woman with severe right ventricular outflow tract obstruction caused by an aneurysm of the right sinus of Valsalva. We performed partial aortic root reconstruction using a bovine pericardial patch, and aortic valve replacement. Although this case provides evidence that these are suitable surgical techniques for treatment of aneurysm of the sinus of Valsalva, total aortic root replacement should have been chosen based on the pathological finding of aortic medial and valve degeneration.
authors.affiliation: Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Japan osahiro@kuhp.kyoto-u.ac.jp.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Osada
authors.affiliation: Department of Pathology, Mitsubishi Kyoto Hospital, Japan.
authors.forename: Masahisa
authors.initials: M
authors.lastname: Kyogoku
authors.affiliation: Department of Cardiology, Kyoto Min-iren Chuo Hospital, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Fujino
authors.affiliation: Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakajima
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000601:surgery
keywords: Aortic aneurysm; Aortic valve insufficiency; Sinus of Valsalva; Ventricular outflow obstruction