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Victor A. Jebara
Michele Portoghese
Miguel Sousa Uva
Christophe Acar
Jean-Noël Fabiani
Alain F. Carpentier
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Ann Thorac Surg 1992;54:323-326
© 1992 The Society of Thoracic Surgeons

Articles

Isolated extracardiac unruptured sinus of valsalva aneurysms

Victor A. Jebara, MD*, Sylvain Chauvaud, MD, Michele Portoghese, MD, Miguel Sousa Uva, MD, Christophe Acar, MD, Arnaud Farge, MD, Patrice Dervanian, MD, Antoine Sarkis, MD, Patrick Bruneval, MD, Jean-Noël Fabiani, MD, Alain Deloche, MD, Alain F. Carpentier, MD, PhD

Departments of Cardiovascular Surgery and Pathology, Hôpital Broussais, Paris, France

Accepted for publication January 16, 1992.

* Address reprint requests to Dr Jebara, Department of Cardiovascular Surgery, Hôpital Broussais, 96 rue Didot, 75014 Paris, France.

Reports concerning unruptured, isolated aneurysms of one sinus of Valsalva are rare. These aneurysms usually protrude inside the heart and are very rarely extracardiac. We report 4 cases of isolated, unruptured extracardiac aneurysms of the noncoronary sinus of Valsalva. Clinical symptoms were nonspecific. Operation was performed by patch reconstruction of the dilated aortic sinus without replacement of the ascending aorta. Microscopic examination of the diseased aortic wall revealed absence of medial elastic fibers. Late follow-up in all 4 cases revealed a normal ascending aorta with no dilatation of the aortic root and no aortic regurgitation.




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