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Ann Thorac Surg 1998;65:535
© 1998 The Society of Thoracic Surgeons

Case Reports

Aneurysm of the Left Sinus of Valsalva Producing Aortic Valve Regurgitation and Myocardial Ischemia

Yoshiharu Takahara, MD, Yoshio Sudo, MD, Tooru Sunazawa, MD, Nobuyuki Nakajima, MD

Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Funabashi, Japan

Accepted for publication September 10, 1997.

Dr Takahara, 1-21-1, Kanasugi, Funabashi, Chiba 273, Japan.

An aneurysm of the left sinus of Valsalva producing aortic valve regurgitation was treated by excising the aortic root including the aneurysm but leaving the aortic valve leaflets. The aortic valve was reimplanted inside a graft. Postoperative examinations revealed normal aortic valve function. In this case, the cause of aortic valve regurgitation was due to deformity of the aortic annulus. An aortic valve-sparing operation is an appropriate method for such a case.




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