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Hidetoshi Akashi
Keiichiro Tayama
Tomokazu Kosuga
Kazuyoshi Takagi
Shigeaki Aoyagi
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J Thorac Cardiovasc Surg 2005;129:951-952
© 2005 The American Association for Thoracic Surgery

Brief Communications

Remodeling operation for unruptured aneurysms of three sinuses of Valsalva

Hidetoshi Akashi, MD*, Eiki Tayama, MD, Keiichiro Tayama, MD, Tomokazu Kosuga, MD, Kazuyoshi Takagi, MD, Shigeaki Aoyagi, MD

Department of Surgery, Kurume University School of Medicine, Kurume, Japan.

Received for publication August 31, 2004; accepted for publication September 7, 2004.

* Address for reprints: Hidetoshi Akashi, MD, the Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 830 Japan (E-mail: akashi@med.kurume-u.ac.jp).

The first 20% of the full text of this article appears below.

Congenital unruptured aneurysms affecting all three sinuses of Valsalva are extremely uncommon.1 Congenital aneurysms of the noncoronary or the right coronary sinus have been described more often in the literature. The distribution of aneurysmal sites has been stated to be approximately 70% for the right coronary sinus, 29% for the noncoronary sinus, and 1% for the left coronary sinus.1 We report here the successful treatment by remodeling procedure of a woman with large, unruptured, isolated aneurysms of the left coronary and noncoronary sinuses of Valsalva and a small aneurysm of the right sinus of Valsalva.

Clinical summary

A symptom-free 62-year-old woman was admitted to the cardiovascular department of our hospital for cardiac examination. An ejection systolic murmur over the left parasternal area was heard, and the chest radiograph delineated an abnormal cardiothoracic ratio. Electrocardiogram showed no ischemic changes and first-degree heart block. Transthoracic echocardiography was performed, and she was found to have two large aneurysms of the left coronary and noncoronary sinuses of Valsalva, with oppression of . . . [Full Text of this Article]




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