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Michael D. Yarnoz
Donald O. Weber
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Ann Thorac Surg 1982;33:290-294
© 1982 The Society of Thoracic Surgeons

Articles

Repair of Sinus of Valsalva Aneurysm Associated with Aortoventricular Discontinuity

Michael D. Yarnoz, M.D.*, Donald O. Weber, M.D., Alan Richman, M.D., Patrick Del Mastro, M.D.

From the Departments of Surgery, Pathology, and Internal Medicine, University of South Florida College of Medicine, Tampa, FL

Accepted for publication January 23, 1981.

* Address reprint requests to Dr. Yarnoz, Department of Surgery, MDC Box 16, University of South Florida College of Medicine, 12901 N 30th St, Tampa, FL 33612

The case of a patient with unruptured sinus of Valsalva aneurysm with absence of the intervalvular lamina fibrosa is presented. The association of Valsalva aneurysm and aortic subvalvular defects has been explained as a deficiency of elastic tissue at the aortic root or maldevelopment of the fibrous trigone. Valvular aortic insufficiency with histological evidence of myxoid changes required prosthetic replacement. Myxomatous changes in the fibrous trigone and aortic annulus can explain this unusual, complex anomaly. Accurate preoperative diagnosis may require special views and simultaneous left and right injections at cineangiography. Techniques of repair that have been successful are reviewed, and the essential features of adequate correction are outlined.




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