title: Surgical treatment of a giant unruptured aneurysm of the noncoronary sinus of Valsalva: a case report.
abstract: BACKGROUND
  A sinus of Valsalva aneurysm is a rare cardiac anomaly which may be acquired or congenital. The main associated symptoms are conduction disturbances, myocardial ischemia, and syncopes.
  
  
  METHODS
  In this report we describe a 52-year-old Albanian woman from Kosovo with an unruptured aneurysm of 74×60 mm of the noncoronary sinus of Valsalva presenting dyspnea, jugular distension, and tachycardia due to cardiac compression. She underwent successful closure of the orifice and sinus remodeling with a Dacron patch.
  
  
  CONCLUSIONS
  To the best of our knowledge this is the largest reported isolated unruptured aneurysm of the coronary sinus causing severe compression of the cardiac chambers undergoing successful surgical correction.
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Edvin
authors.initials: E
authors.lastname: Prifti
authors.affiliation: Division of Cardiology, Gjakovo Hospital, Rr. Prizren, Gjakovo, Kosovo. fadilademaj1971@gmail.com.
authors.forename: Fadil
authors.initials: F
authors.lastname: Ademaj
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Arben
authors.initials: A
authors.lastname: Baboci
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Edmond
authors.initials: E
authors.lastname: Nuellari
authors.affiliation: Division of Cardiology, Gjakovo Hospital, Rr. Prizren, Gjakovo, Kosovo.
authors.forename: Aurel
authors.initials: A
authors.lastname: Demiraj
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Dariel
authors.initials: D
authors.lastname: Thereska
mesh_terms: D001014:Aortic Aneurysm / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000627:therapeutic use; D011474:Prosthesis Design; D012850:Sinus of Valsalva / Q000473:pathology / Q000601:surgery*; D013610:Tachycardia / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates
keywords: Coronary sinus of Valsalva; Patch repair; Unruptured aneurysm