Huge Unruptured Aneurysm of the Sinus of Valsalva with Bicuspid Aortic Valve: A Case Treated Successfully by Surgery.
10.4326/jjcvs.27.376
- VernacularTitle:大動脈弁二尖弁に合併した巨大非破裂バルサルバ洞動脈りゅうの手術治療経験
- Author:
Manabu Sato
;
Shinya Higuchi
;
Yukio Kosako
;
Yuji Katayama
;
Tsuyoshi Ito
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(6):376-379
- CountryJapan
- Language:Japanese
-
Abstract:
An isolated huge unruptured aneurysm of the right coronary sinus of Valsalva was detected incidentally in a 47-year-old man. Echocardiography and aortograms revealed severe aortic insufficiency with moderate stenosis, and mild dilatation of the lower ascending aorta without annulo-aortic ectasia. At operation, a sclerotic bicuspid aortic valve was confirmed. These abnormal findings necessitated a reconstruction of the aortic root with a valved conduit and reimplantation of the coronary arteries (Bentall operation with the Carrel patch technique). Pathologic examination of the resected aortic wall showed diffuse sclerotic change and partial medial degeneration.
