Korean J Thorac Cardiovasc Surg.  2009 Feb;42(1):96-99.

Ruptured Sinus of a Valsalva Aneurysm into the Left Ventricle with the Rupture Site Communicating with the Left Coronary Sinus and the Left Noncoronary Sinus

• Lee H
• Kim GJ
• Lee JT

Abstract

We report here on a case of a ruptured sinus of a valsalva aneurysm into the left ventricle with the rupture site communicating with both the left coronary sinus and the noncoronary sinus in a 37-year-old male who presented with symptoms of congestive heart failure. Echocardiography showed a sac-like structure around the sinus of valsalva, an enlarged left ventricle (LV) and severe aortic regurgitation, which all suggested a ruptured sinus of a valsalva aneurysm or an aortic-left ventricular tunnel. The operative findings revealed that both the left coronary sinus and the noncoronary sinus had an opening into the left ventricle. The proximal opening into the LV was closed with bovine pericardium and the aortic root was replaced with a composite graft (a 21 mm St. Jude Epic Supra tissue valve and a 24 mm Hemashild graft) by the modified Bentall procedure. The patient was discharged on the 15th postoperative day, and he was regularly followed up for 2 months. We report on this case due to its rarity and to describe the surgical repair techniques.

Keyword

Sinus of Valsalva; Aortic regurgitation

MeSH Terms

Adult
Aneurysm
Aortic Valve Insufficiency
Coronary Sinus
Echocardiography
Heart Failure
Heart Ventricles
Humans
Male
Pericardium
Rupture
Sinus of Valsalva
Transplants