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Yong Han Yoon
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Ann Thorac Surg 2002;73:1975-1977
© 2002 The Society of Thoracic Surgeons


Case report

Huge sinus of Valsalva aneurysm causing mitral valve incompetence

Wan Ki Baek, MDa,b*, Joung Taek Kim, MDa,b, Yong Han Yoon, MDa,b, Kwang Ho Kim, MDa,b, Jun Kwan, MDa,b

a Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, South Korea
b Division of Cardiology, Inha University Hospital, Incheon, South Korea

Accepted for publication December 16, 2001.

* Address reprint requests to Dr Baek, Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, 7-206, 3-Ga, Shinheung-Dong, Jung-Ku, Incheon 400-103, South Korea
e-mail: wkbaek{at}inha.ac.kr

We describe a case of a large sinus of Valsalva aneurysm originating from the noncoronary sinus. The aneurysm compressed the roof of the left atrium rendering the annulus and the anterior leaflet of the mitral valve severely distorted and, as a result, incompetent. The neck of the aneurysm was closed with a patch from the side of the aortic sinus, but we had to replace the mitral valve as the distorted structure did not resume its original shape even though we opened the aneurysm and debrided all thrombotic material inside the aneurysm.




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