Korean J Thorac Cardiovasc Surg.  1997 Jul;30(7):719-723.

Aneurysm of the Sinus of Valsalva Dissecting into the Ventricular Septum Associated with Paravalvular Leakage After Double Valve Replacement

• Jung IS
• Lee YT
• Kim WH
• Jung YS
• Na CY
• Chung CH
• Kim WS
• Bang JH
• Lee S
• Kim SI
• Park JJ
• Chung DH
• Hyon MS
• Hong SS
• Kim MA
• Park SH

Abstract

We experienced a case of aneurysm of the sinus of Valsalva dissecting into the ventricular dseptum. This dissection was induced by paravalvular leakage after aortic and mitral valve replacement. This 37-year-old male was admitted via emergency room due to progressive dyspnea. He had undergone aortic valve replacement(carbomedic(R) 23 mm) and mitral valve replacement(carbomedic(R) 31 mm) due to aortic regurgitation and mitral regurgitation about 6 years prior to admission and followed up regularly. The diagnosis was made by transthoracic and transesophageal echocardiography and reconfirmed by root aortography. The inlet of the ventricular septal aneurysmal sac was repaired by one layer suture with 3-0 prolene of the endocardium, epicardium and homograft muscle shoulder altogether. Postoperative course was uneventful and the patient was discharged on the 11th postoperative day.

Keyword

Aneurysm, sinus valsalva; Dissection

MeSH Terms

Adult
Allografts
Aneurysm*
Aortic Valve
Aortic Valve Insufficiency
Aortography
Bays
Diagnosis
Dyspnea
Echocardiography, Transesophageal
Emergency Service, Hospital
Endocardium
Humans
Male
Mitral Valve
Mitral Valve Insufficiency
Pericardium
Polypropylenes
Shoulder
Sinus of Valsalva*
Sutures
Ventricular Septum*
Polypropylenes