title: Direct closure of an asymptomatic right coronary sinus of Valsalva aneurysm.
abstract: A 52-year-old man was referred for evaluation of palpitation. Transthoracic echocardiography revealed an extracardiac aneurysm of the right coronary sinus of Valsalva, and normal anatomy of the aortic valve with no regurgitation. Three-dimensional computed tomography confirmed the aneurysm with a diameter of 21 × 13.7 mm arising from the right coronary sinus of Valsalva under the right coronary artery. Surgical repair was performed without changing the normal anatomy of the aortic valve, preserving the right coronary ostium. Intraoperative and postoperative echocardiography showed complete closure of the aneurysm with normal functioning of the aortic valve.
authors.affiliation: Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Fondazione Monzino, Milan, Italy giulio.tessitore@libero.it.
authors.forename: Giulio
authors.initials: G
authors.lastname: Tessitore
authors.affiliation: Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Fondazione Monzino, Milan, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Alamanni
authors.affiliation: Department of Cardiovascular Imaging, IRCCS Centro Cardiologico Fondazione Monzino, Milan, Italy.
authors.forename: Sarah Ghulam
authors.initials: SG
authors.lastname: Ali
authors.affiliation: Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Fondazione Monzino, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Zanobini
mesh_terms: D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D000072226:Computed Tomography Angiography; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Aortic aneurysm; echocardiography; sinus of valsalva