Right ventricular outflow tract obstruction caused by sinus of Valsalva aneurysm

Right ventricular outflow tract (RVOT) obstruction caused by sinus of Valsalva aneurysm is a rare observation. We describe a successful case of valve-sparing root replacement using reimplantation technique for RVOT obstruction by a large right coronary sinus of Valsalva aneurysm in a 76-year-old man...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2021-05, Vol.69 (5), p.866-869
Main Authors: Henmi, Soichiro, Yokawa, Koki, Okita, Yutaka
Format: Article
Language:English
Subjects:
Aged
Aneurysms
Aortic Aneurysm - complications
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - surgery
Cardiac Surgery
Cardiology
Case Report
Doppler effect
Heart Defects, Congenital
Heart Septal Defects, Ventricular
Humans
Male
Medicine
Medicine & Public Health
Patients
Pulmonary arteries
Sinus of Valsalva - diagnostic imaging
Sinus of Valsalva - surgery
Surgical Oncology
Thoracic Surgery
Veins & arteries
Ventricular Outflow Obstruction - diagnostic imaging
Ventricular Outflow Obstruction - etiology
Ventricular Outflow Obstruction - surgery
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Summary:Right ventricular outflow tract (RVOT) obstruction caused by sinus of Valsalva aneurysm is a rare observation. We describe a successful case of valve-sparing root replacement using reimplantation technique for RVOT obstruction by a large right coronary sinus of Valsalva aneurysm in a 76-year-old man. In the pathological examination, the elastic fibers of the medial layer were defective not only in the wall of the aneurysmal Valsalva sinus but also in the remaining two sinus walls. Our experience illustrated that valve-sparing root replacement can be an effective procedure in such a case.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-020-01546-5