Ruptured sinus of Valsalva aneurysms - our surgical experience of 7 years.

Introduction: Aneurysms of sinuses of Valsalva are rare aortic anomalies having an incidence of 1.4-4.94% in the Asian population.

Narrowing of the dark valve: aortic stenosis in alkaptonuria.

The commonest cardiac pathology in patients with alkaptonuria is aortic stenosis. Patients with alkaptonuria and aortic stenosis may remain asymptomatic until the 6th decade. Surgeons may have to deal with per-operative difficulties as alkaptonuria is a systemic disease.