Traumatic Sinus of Valsalva Aneurysm Repaired by Partial David Operation

Abstract

We report a case of chronic type A dissection and aneurysm of the sinus of Valsalva after a motor bike accident which remained undetected for 20 years. It was successfully treated with a modified valve-preserving technique. The noncoronary sinus formed a 4.5 × 5.0 cm large and heavily calcified aneurysm, compressing the right atrium and right coronary artery. The pathology was limited to the noncoronary sinus area and here was the annulus dilatated but the remaining sinuses and annulus and the cusps were intact. We have therefore performed a one-third or partial-David procedure with a satisfactory result.

Keywords

aortic disease - cardiovascular surgery - trauma

• References

• 1 Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax 1968; 23 (4) 338-339
• 2 Yacoub MH, Gehle P, Chandrasekaran V, Birks EJ, Child A, Radley-Smith R. Late results of a valve-preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg 1998; 115 (5) 1080-1090
• 3 David TE, Ivanov J, Armstrong S, Feindel CM, Webb GD. Aortic valve-sparing operations in patients with aneurysms of the aortic root or ascending aorta. Ann Thorac Surg 2002; 74 (5) S1758-S1761 , discussion S1792–S1799
• 4 Cerillo AG, Farneti PA, Mariani M, Gasbarri T, Solinas M, Glauber M. Valve-sparing replacement of the noncoronary sinus of Valsalva in patients with a bicuspid aortic valve. Ann Thorac Surg 2007; 84 (5) 1774-1776
• 5 Gerosa G, Pontarollo S, Iliceto S, di Marco F. An alternative technique for aortic root remodeling in patients with bicuspid aortic valve. J Thorac Cardiovasc Surg 2007; 133 (1) 249-250
• 6 Charitos EI, Stierle U, Sievers HH, Misfeld M. Valve-sparing aortic root remodeling with partial preservation of the intact native aortic sinuses. Eur J Cardiothorac Surg 2009; 36 (3) 589-591