The recommended operative management of unruptured sinus of Valsalva aneurysm consists of closure of the mouth of the aneurysm with or without aortic valve surgery. We report a case of unruptured aneurysm producing right ventricular outflow tract obstruction. Closure of the mouth of the aneurysm failed to relieve the obstruction, which was subsequently achieved by excising the aneurysmal wall overlying the outflow tract.
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References
1.
HolmanWC. Aneurysm of the sinus of Valsalva. In: SabistonDCJr.SpencerFC, editors. Surgery of the chest. Philadelphia: Saunders, 1990.
2.
AzakieADavidTEPenistonCMRaoVWilliamsWG. Ruptured sinus of Valsalva aneurysm: early recurrence and fate of the aortic valve. Ann Thorac Surg2000; 70: 1466–71.
3.
NakaYKadobaKOhtakeSSawaYHirataNNishimuraMThe long-term outcome of a surgical repair of sinus of Valsalva aneurysm. Ann Thorac Surg2000; 70: 727–9.
4.
ChoudharySKBhanAReddySCSharmaRMurariVAiranBAneurysm of sinus of Valsalva dissecting into interventricular septum. Ann Thorac Surg1998; 65: 735–40.
5.
ChuSHHungCRHowSSChangHWangSSTsaiCHRuptured aneurysms of the sinus of Valsalva in Oriental patients. J Thorac Cardiovasc Surg1990; 99: 288–98.
6.
OkitaYTakamotoSAndoMMorotaTHiraiHKawashimaYAn unruptured aneurysm in the right sinus of Valsalva presenting as coronary insufficiency. J Card Surg1995; 10: 59–64.
