A 76-year-old man with systemic lupus erythematosus was found to have an aneurysm of the right sinus of Valsalva. Aortic root replacement with a stentless bioprosthesis, using a full root technique, was successfully performed. The pathological findings of the excised aortic valve were not secondary to atherosclerosis, inflammatory or infectious disease, but seemed to be compatible with those previously reported in a case of systemic lupus erythematosus.
YamazakiK. Systemic lupus erythematosus with hepatic aneurysm, Valsalva sinus aneurysm and associated polyangiitis: caneurysmal wall remodeling with dense fibrosis and calcification mediated by residual smooth muscle cells. Lupus2004; 13: 54–59.
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AkashiHTayamaETayamaKKosugaTTakagiKAoyagiS. Remodeling operation for unruptured aneurysms of three sinuses of Valsalva. J Thorac Cardiovasc Surg2005; 129: 951–952.
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LokhandwalaYYKhanolkarUBRajaniRSatheSKaneriaVSrinivasA. Unruptured aneurysm of sinus of Valsalva: report of 2 cases. Indian Heart J1989; 41: 68–71.
