scholarly journals Surgical Management of a Giant Left Sinus of Valsalva Aneurysm with Coronary Artery Abnormality

2021 ◽  
Vol 24 (2) ◽  
pp. E296-E298
Author(s):  
Long Song ◽  
Chukwuemeka Daniel Iroegbu ◽  
Chengming Fan ◽  
Xinmin Zhou
Keyword(s):  
Coronary Artery ◽  
Sinus Of Valsalva ◽  
Coronary Insufficiency ◽  
Sinus Of Valsalva Aneurysm ◽  
Coronary Artery Abnormality ◽  
Severe Aortic Regurgitation ◽  
Repair Technique ◽  
Valve Sparing ◽  
Aortic Root Repair ◽  
Left Sinus Of Valsalva

Coronary insufficiency caused by unruptured left sinus of Valsalva aneurysm (SVA) is exceedingly rare in the literature. Herein, we present a successful surgically treated case of giant left SVA with severe aortic regurgitation and coronary insufficiency, thus introducing a tailored valve-sparing aortic root repair technique.

scholarly journals Left main coronary artery compression by a left sinus of Valsalva aneurysm

2013 ◽  
Vol 16 (5) ◽  
pp. 713-714 ◽  
Author(s):  
José Martínez-Comendador ◽  
Javier Gualis ◽  
Carlos Esteban Martín ◽  
Alberto Santamaria
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Sinus Of Valsalva Aneurysm ◽  
Left Sinus Of Valsalva

scholarly journals Giant unruptured sinus of Valsalva aneurysm successfully managed with valve-sparing procedure – a case report

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Miklós Pólos ◽  
Cristina-Maria Șulea ◽  
Kálmán Benke ◽  
Bence Ágg ◽  
Attila Kovács ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Root ◽  
Clinical Manifestations ◽  
Aortic Insufficiency ◽  
Sinus Of Valsalva ◽  
Suitable Alternative ◽  
Complete Replacement ◽  
Sinus Of Valsalva Aneurysm ◽  
Severe Aortic Regurgitation ◽  
Valve Sparing

Abstract Background Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly, with an incidence of less than 1% of open heart surgery cases. Its evolution is most frequently silent, being found incidentally or discovered in the event of its acute rupture. Non-ruptured giant SVAs may cause unusual clinical manifestations, as a consequence of their protrusion into the heart chambers or compression of the coronary vessels and are frequently associated with aortic insufficiency of various degrees of severity. The gold standard treatment for SVAs consists of complete replacement of the aortic root and valve. However, in certain cases, valve-sparing procedures may prove to be a more suitable alternative. Case presentation A 68-year-old male patient presented with dyspnea as symptom caused by a large (> 5 cm) right sinus of Valsalva aneurysm. The aneurysm was occupying most of the right ventricle and was associated with severe aortic regurgitation. The surgical treatment of the condition involved valve-sparing root reconstruction procedure (remodeling technique), completed with external stabilization of the aortic valve annulus via running suture annuloplasty. Following the uneventful intervention, the patient did well and his status improved. The follow-up transthoracic echocardiography obtained 1 month after surgery showed a fully competent aortic valve with no regurgitation. Conclusions Despite complete aortic root and valve replacement being considered the safest approach to large SVAs complicated with aortic insufficiency, valve-sparing procedures should not be overlooked in case of a dilated aortic root with uncalcified aortic valve. Performing valve-sparing by applying a remodeling technique operation completed with annuloplasty reduces aortic valve insufficiency, avoiding side-effects related to implanted valves.

An Intramural Left Main Coronary Artery with a Left Sinus of Valsalva Aneurysm: A Unique Combination of Congenital Anomalies

2013 ◽  
Vol 16 (1) ◽  
pp. 35
Author(s):  
Salah Eldien Altarabsheh ◽  
Salil V. Deo ◽  
Peter Spitell ◽  
Philip Araoz ◽  
Soon J. Park
Keyword(s):  
Coronary Artery ◽  
Congenital Malformations ◽  
Left Main Coronary Artery ◽  
Unique Combination ◽  
Sinus Of Valsalva ◽  
Short Discussion ◽  
Left Main ◽  
Aortic Sinus ◽  
Sinus Of Valsalva Aneurysm ◽  
Left Sinus Of Valsalva

The congenital anomaly of an intramural left main coronary artery arising in the anatomically correct aortic sinus is very infrequent. Aneurysms involving the sinus of Valsalva rarely arise from the left aortic sinus. We present the clinical features and surgical correction of this rare anomaly along with a short discussion of these congenital malformations.

scholarly journals A patient with single coronary artery, bicuspid aortic valve and sinus of Valsalva aneurysm

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed N. Mohammad ◽  
Oghenesuvwe Eboh ◽  
Muna Mian ◽  
Rony L. Shammas
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Single Coronary Artery ◽  
Coronary Angiogram ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Ct Coronary Angiogram ◽  
Left Sinus Of Valsalva

Abstract Background We report a rare case of a patient who presented with chest pain and was found to have a constellation of rare cardiac anomalies. Case presentation A 67-year-old patient with no past medical history presented with chest pain. He had mild troponin elevation, but no ischemic changes on ECG. He underwent a CT coronary angiogram for further evaluation. He was found to have a type 0 bicuspid aortic valve, large left sinus of Valsalva aneurysm and type R-III single coronary artery. These findings were confirmed with transesophageal echocardiogram and coronary angiogram. He underwent a successful repair of his aortic root aneurysm with a synthetic patch. Conclusions The combination of type R-III single coronary artery, bicuspid aortic valve, and left sinus of Valsalva aneurysm congenital anomalies in one individual is extremely rare and marks our case unique. Given the size of his Sinus of Valsalva aneurysm, the patient underwent surgical repair of his aneurysm and was asymptomatic when seen in follow-up.

Coronariaeredési anomáliák kardio-CT-vizsgálatok során

2020 ◽  
Vol 161 (47) ◽  
pp. 1995-1999
Author(s):  
László Barna ◽  
Zsuzsanna Takács-Szabó ◽  
László Kostyál
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Sinus Of Valsalva ◽  
Coronary Anomalies ◽  
Coronary Computed Tomography ◽  
Left Circumflex Artery ◽  
The Right ◽  
Left Sinus Of Valsalva

Összefoglaló. Bevezetés: Congenitalis coronariaanomáliának tekintik azokat a coronariamorfológiai rendellenességeket, melyek 1%-nál kisebb gyakorisággal fordulnak elő. Többségük nem jár tünettel, olykor azonban okozhatnak mellkasi fájdalmat, eszméletvesztést, és hirtelen halálhoz is vezethetnek. A coronariaanomáliák gyakoriságáról Magyarországon eddig csak invazív koronarográfiás adatok alapján jelent meg közlemény. Célkitűzés: Jelen vizsgálatunkban a coronariák eredési rendellenességeinek gyakoriságát mértük fel intézetünk coronaria-komputertomográfiás angiográfián átesett betegeinél. Módszer: A coronaria-komputertomográfiás vizsgálatra került betegek felvételeinek értékelésekor rögzítettük a coronariaanomália jelenlétét. A vizsgálat indikációja általában mellkasi fájdalom volt. 128 szeletes berendezést használtunk, a vizsgálatok során részben retrospektív, részben prospektív EKG-kapuzást alkalmaztunk. Eredmények: 1751 beteg komputertomográfiás angiográfiás felvételeit elemeztük. A betegek között a férfiak aránya 38,4%, a vizsgálatra kerülők életkorának átlaga pedig 58,07 ± 11,07 év volt. Eredési anomáliát 1,83%-ban találtunk, ezen belül a leggyakoribb volt a körbefutó ág (ramus circumflexus) és az elülső leszálló ág különálló eredése a bal Valsalva-sinusból (1%). A további rendellenességek a következők voltak: a jobb coronaria eredése magasan az aortából (0,34%), ramus circumflexus a jobb sinusból vagy a jobb coronariából (0,34%), jobb coronaria a bal Valsalva-sinusból (0,057%), elülső leszálló ág részben a bal Valsalva-sinusból a circumflexustól külön, részben a jobb coronariából (kettős elülső leszálló ág, 0,057%). Következtetés: Mindössze 0,057%-ban fordult elő potenciálisan tünetet okozó coronariaeredési rendellenesség (a bal sinusból eredő jobb coronaria). A komputertomográfiás angiográfia segítségével a coronariaeredés helye pontosan megállapítható, tisztázható az ér lefutása és ennek során viszonya a környező struktúrákhoz. Orv Hetil. 2020; 161(47): 1995–1999. Summary. Introduction: Congenital coronary artery anomaly is defined as a coronary morphology which occurs in less than 1% of the cases. Usually these anomalies do not result in symptoms but sometimes they can cause chest pain, syncope and sudden death. In Hungary, the prevalence of these abnormalities was published only from data of invasive coronary angiography. Objective: In this study, we evaluated the prevalence of the anomalies of coronary origin in the patients of our institution undergoing coronary computed tomography. Method: While reading the computed tomography angiograms of our patients, we registered the presence of coronary anomalies. In most of the cases, the indication of the coronary computed tomography was chest pain. A scanner with 128 detectors was used, scans were performed partly with prospective, partly with retrospective ECG gating. Results: We assessed 1751 patients. The ratio of males was 38.4%, while the average age of patients 58.07 ± 11.07 years. Anomaly of coronary origin was present in 1.83% of our patients, with the separate origin of left anterior descending and left circumflex artery being the most frequent (1%) among them. Other anomalies were as follows: high take-off of the right coronary artery from the ascending aorta (0.34%), left circumflex arising from the right sinus of Valsalva or from the right coronary (0.34%), right coronary artery from the left sinus of Valsalva (0.057%), left anterior descending arising partly from the left sinus of Valsalva, apart from the left circumflex, partly from the right coronary (dual left anterior descending artery, 0.057%). Conclusion: The prevalence of potentially symptomatic coronary anomalies was only 0.057% in our series (right coronary from the left sinus of Valsalva). The computed tomography angiography can precisely define the origin of the coronary artery, depict its run-off and its relationship to the neighbouring structures. Orv Hetil. 2020; 161(47): 1995–1999.

MDCT of the anomalous origin of the right coronary artery from the left sinus of Valsalva as a single coronary artery

2006 ◽  
Vol 109 (1) ◽  
pp. 125-126 ◽  
Author(s):  
Yuichi Sato ◽  
Makoto Ichikawa ◽  
Mitsuyo Masubuchi ◽  
Shunichi Yoda ◽  
Satoru Furuhashi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
The Right ◽  
Left Sinus Of Valsalva
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