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Ann Thorac Surg 1997;64:1475-1476
© 1997 The Society of Thoracic Surgeons

Case Report

Massive Sinus of Valsalva Aneurysm Presenting With Coronary Insufficiency

Frank A. Pigula, MD, Bartley P. Griffith, MD, Robert L. Kormos, MD

Division of Cardiothoracic Surgery, Presbyterian University Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Accepted for publication June 7, 1997.

A 50-year-old man with a massive acquired sinus of Valsalva aneurysm presenting with coronary insufficiency is presented. Annuloaortic ectasia and severe aortic insufficiency mandated composite aortic valve and root replacement, with reimplantation of the coronary arteries. Clinical characteristics, treatment principles, and surgical outcomes are described.




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