Root repair in patient with huge sinus Valsalva aneurysm and severe aortic regurgitation

Abstract

Anatomical aortic root restoration in a patient with a giant aneurysm of the right Sinus of Valsalva accompanied by severe AI and compression of the right-ventricular outflow is described and the entire case series (5) is reported.

This is a preview of subscription content, log in to check access.

Fig. 1
Fig. 2

References

  1. 1.

    Edwards JE, Burchell HB. The pathological anatomy of deficiencies between the aortic root and the heart, including aortic sinus aneurysms. Thorax. 1957;12:125–39.

    CAS  Article  Google Scholar 

  2. 2.

    Vural KM, Sener E, Tasdemir O, Bayazit K. Approach to sinus of Valsalva aneurysms: a review of 53 cases. Eur J Cardiothorac Surg. 2001;20:71–6.

    CAS  Article  Google Scholar 

  3. 3.

    Urbanski PP, Jankulowski A, Morka A, Irimie V, Zhan X, Zacher M, et al. Patient-tailored aortic root repair in adult marfanoid patients: surgical considerations and outcomes. J Thorac Cardiovasc Surg. 2018;155:43–51.

    Article  Google Scholar 

  4. 4.

    Sawazaki M, Tomari S, Izawa N. Giant sinus of valsalva aneurysm with severe aortic incompetence treated with a valve-sparing operation. Ann Thorac Surg. 2012;94:1018–20.

    Article  Google Scholar 

  5. 5.

    Akashi H, Tayama E, Tayama K, Kosuga T, Takagi K, Aoyagi S. Remodeling operation for unruptured aneurysms of three sinuses of Valsalva. J Thorac Cardiovasc Surg. 2005;129:951–2.

    Article  Google Scholar 

  6. 6.

    Urbanski PP, Zhan X, Hijaz H, Zacher M, Diegeler A. Valve-sparing aortic root repair without down-sizing of the annulus. J Thorac Cardiovasc Surg. 2012;143:294–302.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Paul P. Urbanski.

Ethics declarations

Conflict of interest

All authors have nothing to disclose with regard to commercial support.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MP4 5912 KB)

Supplementary material 2 (MP4 64990 KB)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Urbanski, P.P., Hirao, S. & Irimie, V. Root repair in patient with huge sinus Valsalva aneurysm and severe aortic regurgitation. Gen Thorac Cardiovasc Surg 68, 530–533 (2020). https://doi.org/10.1007/s11748-019-01104-8

Download citation

Keywords

  • Sinus Valsalva aneurysm
  • Valve-sparing
  • Aortic root repair
  • Aortic insufficiency