scholarly journals Alternative Surgical Approach to Repairing a Giant Sinus of Valsalva Aneurysm

2016 ◽  
Vol 43 (1) ◽  
pp. 43-44 ◽  
Author(s):  
Vincenzo Giambruno ◽  
Cristina Cucchietti ◽  
Calogera Pisano ◽  
Jonathan Hyde
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Coronary Sinus ◽  
Surgical Approach ◽  
Bypass Graft ◽  
Giant Aneurysm ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

We report our method of surgically repairing an unruptured giant aneurysm of the right coronary sinus of Valsalva, a lesion that caused moderate aortic regurgitation but no symptoms in a 61-year-old woman. We excised the aneurysm, reconstructed the right sinus of Valsalva with use of a patch, performed mechanical aortic valve replacement directly through the excised aneurysm's cavity, and constructed a single bypass graft to the right coronary artery. The patient was discharged from the hospital after 5 days. Twelve months postoperatively, her clinical and echocardiographic results were normal, and she was doing well. To our knowledge, our surgical approach to this repair has not been described previously.

Chest Pain after Aortic Valve Replacement: Rupture of Right Sinus of Valsalva Presenting as Myocardial Infarction

Cardiology ◽  
2016 ◽  
Vol 134 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Jianqing She ◽  
Zhan Hu ◽  
Yangyang Deng ◽  
Fuqiang Liu ◽  
Zuyi Yuan
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Right Coronary Artery ◽  
Artery Dissection ◽  
Sinus Of Valsalva ◽  
Coronary Artery Dissection ◽  
The Right

Background: A 47-year-old male presented with retrosternal chest pain, which had started 4 days previously and had become excruciating for the past 6 h. He had undergone mechanical aortic valve replacement surgery 4 months previously. Investigation: Electrocardiography, echocardiography, computed tomography-angiography of the aorta. Diagnosis: Rupture of the right sinus of Valsalva and right coronary artery dissection. Management: The defect in the right coronary sinus was closed, and the dissection at the root of the right coronary artery was resected and the right coronary artery bypassed to the root of the aorta.

scholarly journals Sinus of Valsalva aneurysm and bicuspid aortic valve: detection and mechanism by cardiac magnetic resonance imaging

2011 ◽  
Vol 1 (3) ◽  
pp. 72
Author(s):  
Jen Li Looi ◽  
Andrew J. Kerr
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Aortic Valve ◽  
Cardiac Magnetic Resonance Imaging ◽  
Coronary Sinus ◽  
Sinus Of Valsalva ◽  
Resonance Imaging ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

Cardiac magnetic resonance imaging (CMR) demonstrated a sinus of Valsalva aneurysm (SVA) with severe dilatation of the right coronary sinus in association with a congenital bicuspid aortic valve (BAV) and subaortic membrane. The SVA had not been apparent on echocardiography as the dilatation was outside standard echo image planes. On both CMR and echo, blood flow was eccentrically directed into the right coronary sinus by the domed posterior leaflet of the BAV. The impact of the aortic jet on the wall of the right coronary sinus is probably important in the aetiology of the sinus dilatation. CMR proved valuable in demonstrating the SVA and understanding its aetiology.

Early and Late Mortality of Patients Undergoing Aortic Valve Replacement After Previous Coronary Artery Bypass Graft Surgery

Circulation ◽  
1995 ◽  
Vol 92 (9) ◽  
pp. 163-168 ◽  
Author(s):  
Sayid F. Fighali ◽  
Amilcar Avendaño ◽  
MacArthur A. Elayda ◽  
Vei Vei Lee ◽  
Cesar Hernandez ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Valve Replacement ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Late Mortality

Quadricuspid Aortic Valve with Ruptured Sinus of Valsalva Aneurysm to the Right Atrium

2009 ◽  
Vol 26 (8) ◽  
pp. 977-979 ◽  
Author(s):  
Suneil Kumar Aggarwal ◽  
Anand Lingan ◽  
Kiran Kumar Reddy ◽  
Mallindra Swamy ◽  
V. Ramnath Iyer ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Right Atrium ◽  
Quadricuspid Aortic Valve ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Intravascular Ultrasonography ◽  
Large Observational Study ◽  
The Right ◽  
Anomalous Coronary

Abstract We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.

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