| A Case of Surgical Repair of
Ruptured Aneurysm of the Sinus of Valsalva with a Congenitally
Bicuspid Aortic Valve |
| Kentaro Yamane |
Ryuichiro Shibata |
Yoichi Hisata |
(Department of Cardiovascular Surgery, Sasebo Chuo
Hospital, Sasebo, Japan)
|
We present a case of ruptured aneurysm
of the sinus of Valsalva with congenitally bicuspid aortic valve
and aortic regurgitation. A 50-year-old woman was admitted with
congestive heart failure. Transesophageal echocardiography demonstrated
that an aneurysm originating from the anterior sinus of Valsalva
had ruptured into right ventricular outflow tract. With the aid
of cardiopulmonary bypass, the aneurysm was repaired with direct
closure through an aortotomy and aortic valve replacement with
a Carbomedics 21mm was successfully performed. Because of the
marked calcification of her cusps and shortening and thickening
of the free-edge, valvuloplasty for the insufficient bicuspid
valve was not applied in this case. However, valvuloplasty should
be considered as the first surgical procedure of choice, even
in cases of bicuspid aortic valve associated with ruptured aneurysm
of the sinus of Valsalva and aortic regurgitation.
Jpn. J. Cardiovasc. Surg. 31: 230-232 (2002) |
|
