title: Alternative Surgical Approach to Repairing a Giant Sinus of Valsalva Aneurysm.
abstract: We report our method of surgically repairing an unruptured giant aneurysm of the right coronary sinus of Valsalva, a lesion that caused moderate aortic regurgitation but no symptoms in a 61-year-old woman. We excised the aneurysm, reconstructed the right sinus of Valsalva with use of a patch, performed mechanical aortic valve replacement directly through the excised aneurysm's cavity, and constructed a single bypass graft to the right coronary artery. The patient was discharged from the hospital after 5 days. Twelve months postoperatively, her clinical and echocardiographic results were normal, and she was doing well. To our knowledge, our surgical approach to this repair has not been described previously.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Giambruno
authors.forename: Cristina
authors.initials: C
authors.lastname: Cucchietti
authors.forename: Calogera
authors.initials: C
authors.lastname: Pisano
authors.forename: Jonathan
authors.initials: J
authors.lastname: Hyde
mesh_terms: D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008875:Middle Aged; D012720:Severity of Illness Index; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D056346:Sternotomy / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Aortic aneurysm/diagnosis/surgery; heart valve prosthesis implantation; sinus of Valsalva/pathology/surgery; surgical techniques; treatment outcome