Pericardial Patch Closure Combined with Coronary Artery Bypass Grafting in a Case of Isolated Extracardiac Unruptured Left Sinus of Valsalva Aneurysm with Stenosis of the Main Trunk of the Left Coronary Artery
10.4326/jjcvs.41.243
- VernacularTitle:左冠状動脈主幹部狭窄と心外膜炎を合併した非破裂心外型左バルサルバ洞動脈瘤にパッチ閉鎖術と冠状動脈バイパス術を施行した1例
- Author:
Noriyuki Hatanaka
;
Takashi Ueda
- Publication Type:Journal Article
- Keywords:
left sinus of Valsalva aneurysm;
lesion of the LMT ostium;
CABG
- From:Japanese Journal of Cardiovascular Surgery
2012;41(5):243-246
- CountryJapan
- Language:Japanese
-
Abstract:
A 76-year-old woman was admitted to our hospital because of sudden onset of chest pain and dyspnea. Echocardiography, chest CT, and cardiac catheterization revealed an isolated extracardiac unruptured left sinus of Valsalva aneurysm, with stenosis of the main trunk of the left coronary artery. Neither aortic regurgitation nor aortic annular dilatation was recognized. As an infection associated sinus of Valsalva aneurysm could not be ruled out, we performed patch closure using autologous pericardium and coronary artery bypass grafting to the left coronary system. The postoperative course was uneventful. One year after the operation, CT revealed that aneurysm of the left sinus of Valsalva had disappeared and that the grafts were patent.
