Ruptured Left Sinus of Valsalva Aneurysm into the Left Ventricle.
- Author:
Han Jung LIM
1
;
Jae won LEE
;
Myung Keun SONG
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Asan Medical Center, Ulsan University.
- Publication Type:Original Article
- Keywords:
Aneurysm;
Sinus of valsalva
- MeSH:
Aneurysm*;
Coronary Sinus;
Echocardiography;
Follow-Up Studies;
Heart Failure;
Heart Ventricles*;
Humans;
Male;
Middle Aged;
Mitral Valve;
Pericardium;
Sinus of Valsalva*;
Sutures
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(7):665-667
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of ruptured sinus of Valsalva aneurysm in 48-year-old male, presenting the symptom of congestive heart failure. Echocardiography showing a hairpin-like sac ex tended from the left coronary sinus to the left ventricle adjacent to the anterior mitral valve leaflet, suggested ruptured sinus of Valsalva aneurysm or aorto-left ventricular tunnel. Operative findings revealed that left sinus of Valsalva aneurysm had multiple openings faced left ventricle, 7 mm in diameter, 20 mm in length. The proximal opening was closed with bovine pericardium and distal openings were closed with spaghetti pledgeted reinforced sutures. The patient was discharged on the 14th postoperative day, and follow up for 8 months uneventfully. This case was reported for its rarity and to describe the techniques of surgical repair.
