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Case Reports
. 2016 Sep 19;10(1):252.
doi: 10.1186/s13256-016-1040-2.

Surgical treatment of a giant unruptured aneurysm of the noncoronary sinus of Valsalva: a case report

Edvin Prifti  1 , Fadil Ademaj  2 , Arben Baboci  1 , Edmond Nuellari  1 , Aurel Demiraj  3 , Dariel Thereska  1
Affiliations
Case Reports

Surgical treatment of a giant unruptured aneurysm of the noncoronary sinus of Valsalva: a case report

Edvin Prifti et al. J Med Case Rep. .

Abstract

Background: A sinus of Valsalva aneurysm is a rare cardiac anomaly which may be acquired or congenital. The main associated symptoms are conduction disturbances, myocardial ischemia, and syncopes.

Case presentation: In this report we describe a 52-year-old Albanian woman from Kosovo with an unruptured aneurysm of 74×60 mm of the noncoronary sinus of Valsalva presenting dyspnea, jugular distension, and tachycardia due to cardiac compression. She underwent successful closure of the orifice and sinus remodeling with a Dacron patch.

Conclusion: To the best of our knowledge this is the largest reported isolated unruptured aneurysm of the coronary sinus causing severe compression of the cardiac chambers undergoing successful surgical correction.

Keywords: Coronary sinus of Valsalva; Patch repair; Unruptured aneurysm.

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Figures

Fig. 1
Fig. 1
a. Transesophageal echocardiography demonstrating a giant aneurysm of the noncoronary sinus. b. Unruptured aneurysm of the noncoronary sinus. c. A giant aneurysm of the noncoronary sinus measuring 74×60 mm. An aneurysm of the coronary sinus, Ao aorta, LV left ventricle, RV right ventricle
Fig. 2
Fig. 2
a. Intraoperative view of the unruptured aneurysm located superiorly to the left atrium. b. The visualization of the orifice of the unruptured aneurysm of the noncoronary sinus. c. The implantation of the synthetic patch on the orifice. d. Total closure of the orifice of the aneurysm. An aneurysm of the coronary sinus, Ao aorta, p-AN prosthesis of the aneurysm; RA right atrium, RV right ventricle
Fig. 3
Fig. 3
Postoperative contrast-enhanced angio-computed tomography demonstrating total obliteration of the aneurysmatic sac. An aneurysm of the coronary sinus, Ao aorta
See this image and copyright information in PMC

References

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