Aneurysm of the Sinus of Valsalva Dissecting into the Ventricular Septum Associated with Paravalvular Leakage After Double Valve Replacement.
- Author:
Il Sang JUNG
1
;
Young Tak LEE
;
Woong Han KIM
;
Yeon Seub JUNG
;
Chan Young NA
;
Cheol Hyun CHUNG
;
Wook Seong KIM
;
Jung Hyun BANG
;
Sub LEE
;
Sang IK KIM
;
Joong Jun PARK
;
Do Hyun CHUNG
;
Min Su HYON
;
Suk Seun HONG
;
Myung A KIM
;
Sung Hoon PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong general Hospital, Puchon, Korea.
- Publication Type:Case Report
- Keywords:
Aneurysm, sinus valsalva;
Dissection
- MeSH:
Adult;
Allografts;
Aneurysm*;
Aortic Valve;
Aortic Valve Insufficiency;
Aortography;
Bays;
Diagnosis;
Dyspnea;
Echocardiography, Transesophageal;
Emergency Service, Hospital;
Endocardium;
Humans;
Male;
Mitral Valve;
Mitral Valve Insufficiency;
Pericardium;
Polypropylenes;
Shoulder;
Sinus of Valsalva*;
Sutures;
Ventricular Septum*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(7):719-723
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of aneurysm of the sinus of Valsalva dissecting into the ventricular dseptum. This dissection was induced by paravalvular leakage after aortic and mitral valve replacement. This 37-year-old male was admitted via emergency room due to progressive dyspnea. He had undergone aortic valve replacement(carbomedic(R) 23 mm) and mitral valve replacement(carbomedic(R) 31 mm) due to aortic regurgitation and mitral regurgitation about 6 years prior to admission and followed up regularly. The diagnosis was made by transthoracic and transesophageal echocardiography and reconfirmed by root aortography. The inlet of the ventricular septal aneurysmal sac was repaired by one layer suture with 3-0 prolene of the endocardium, epicardium and homograft muscle shoulder altogether. Postoperative course was uneventful and the patient was discharged on the 11th postoperative day.
