Surgical Repair of a Sinus of Valsalva Aneurysm.

World J Pediatr Congenit Heart Surg

Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

Published: November 2022

AI Article Synopsis

  • A complex surgical case of an unruptured Sinus of Valsalva aneurysm (SoVA) accompanied by severe aortic regurgitation due to cusp prolapse is discussed.
  • The surgical procedure involved reconstructing the sinus using a patch from a Gelweave Valsalva graft.
  • To address the inadequate height of the right coronary cusp found during the operation, additional modifications were made by plicating the cusp and augmenting it with a pericardial patch, leading to successful outcomes.

Article Abstract

A surgically challenging case of an unruptured Sinus of Valsalva aneurysm (SoVA) with severe aortic regurgitation (AR) due to cusp prolapse is presented. Sinus reconstruction with a patch cut out from the sinus portion of a Gelweave Valsalva graft (Terumo Vascutek) was performed. Intraoperative measurements showed insufficient effective height of the right coronary cusp; therefore, cusp plication and pericardial patch augmentation of the right coronary cusp were performed with satisfying result.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615341PMC
http://dx.doi.org/10.1177/21501351221109193DOI Listing

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