Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Guo HW, Xiong H, Xu JP, Wang XQ, Hu SS. Surgical correction for sinus of valsalva aneurysm with right ventricular outflow tract stenosis. J Card Surg. 2012;27:99–102.
Azakie A, David TE, Peniston CM, Rao V, Williams WG. Ruptured sinus of valsalva aneurysm: early recurrence and fate of the aortic valve. Ann Thorac Surg. 2000;70:1466–71.
Wang ZJ, Zou CW, Li DC, Li HX, Wang AB, Yuan GD, et al. Surgical repair of sinus of Valsalva aneurysm in Asian patients. Ann Thorac Surg. 2007;84:156–60.
Murashita T, Kubota T, Kamikubo Y, Shiiya N, Yasuda K. Long-term results of aortic valve regurgitation after repair of ruptured sinus of Valsalva aneurysm. Ann Thorac Surg. 2002;73:1466–71.
Lin Y, Yin K, Wang Y, et al. Sinus of Valsalva aneurysms with concomitant aortic insufficiency: how should the aortic valve be managed? Interact Cardiovasc Thorac Surg. 2018;26:210–5.
Woo YJ, Frederick JR. Valve-sparing aortic root replacement and neochordal repair of complex aortic leaflet pathology for ruptured sinus of valsalva aneurysm fistulizing to the right ventricle. Ann Thorac Surg. 2013;96:1891–3.
Miyahara S, Matsueda T, Izawa N, et al. Mid-term results of valve-sparing aortic root replacement in patients with expanded indications. Ann Thorac Surg. 2015;100:845–52.
David TE, Maganti M, Armstrong S. Aortic root aneurysm: principles of repair and long-term follow-up. J Thorac Cardiovasc Surg. 2010;140:S14–9.
Nakagiri K, Kadowaki T, Morimoto N, Murakami H, Yoshida M, Mukohara N. Aortic root reimplantation for isolated sinus of valsalva aneurysm in the patient with Marfan’s syndrome. Ann Thorac Surg. 2012;93:e49-51.
Osada H, Kyogoku M, Fujino T, Nakajima H. Partial aortic root replacement for aneurysm of the right sinus of Valsalva. Asian Cardiovasc Thorac Ann. 2015;23:570–2.
Acknowledgements
The authors would like to thank Dr. Shinsuke Shimoyama, Dr. Shumpei Mori, and Dr. Maki Kanzaki for their cooperation in acquisition and reconstruction of the images.
Author information
Authors and Affiliations
Corresponding author
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.
Video 1 VSRR with the reimplantation technique in patients with right ventricular outflow tract obstruction caused by sinus of Valsalva aneurysm (MP4 125973 KB)
Rights and permissions
About this article
Cite this article
Henmi, S., Yokawa, K. & Okita, Y. Right ventricular outflow tract obstruction caused by sinus of Valsalva aneurysm. Gen Thorac Cardiovasc Surg 69, 866–869 (2021). https://doi.org/10.1007/s11748-020-01546-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-020-01546-5