Huge aneurysms of the aortic sinuses of Valsalva with leaflet perforation in an infant: A case report Atsushi Kawaguchi, MD, Kenji Waki, MD, Yoshio Arakaki,

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Presentation transcript:

Huge aneurysms of the aortic sinuses of Valsalva with leaflet perforation in an infant: A case report Atsushi Kawaguchi, MD, Kenji Waki, MD, Yoshio Arakaki, MD, Kiyoshi Baba, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 3, Pages e54-e56 (March 2010) DOI: 10.1016/j.jtcvs.2008.07.068 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Transthoracic echocardiographic image showing an aortic valve 18.2 mm (200% of normal) in diameter, unruptured and markedly dilated sinuses of Valsalva (largest diameter: 22.2 mm), and a normally sized ascending aorta (diameter: 11.3 mm). LV, Left ventricle; LA, left atrium; AoV, aortic valve; aA, ascending aorta. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e54-e56DOI: (10.1016/j.jtcvs.2008.07.068) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Three-dimensional computed tomogram showed markedly dilated, huge sinuses of Valsalva. For abbreviations, see Figure 1. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e54-e56DOI: (10.1016/j.jtcvs.2008.07.068) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Diagram of aortic valve repair. A, Perforation of the leaflet in the bottom area of the NCC, unbalanced leaflets with a small RCC, and prolapsed LCC and NCC. B, Elongated free margin of leaflets were sutured at commissure to maintain correct leaflet length and sandwiched against aortic wall by pericardial patches.NCC, Noncoronary cusp; RCC, right coronary cusp; LCC, left coronary cusp. The Journal of Thoracic and Cardiovascular Surgery 2010 139, e54-e56DOI: (10.1016/j.jtcvs.2008.07.068) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions