Aneurysm of the sinus of Valsalva is a relatively rare disease. The patient was a 59-year-old female with a complaint of dyspnea. A very large extra-cardiac type aneurysm of sinus of Valsalva, 75 mm in diameter, was detected, and modified-Bentall operation (J-graft Valsalva 26 mm:Carpentier-Edwards Magna Ease 23 mm) was performed. The patient recovered uneventfully after the operation and was discharged on the 17th postoperative day.
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