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Ann Thorac Surg 2005;79:341-343
© 2005 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery, Yüzüncü Yil University, School of Medicine, Van, Turkey
Accepted for publication August 6, 2003.
* Address reprint requests to Dr Kutay, Department of Cardiovascular Surgery, Faculty of Medicine, Yüzüncü Yil University, 65200, Van, Turkey
vkutay{at}yahoo.com
We describe the dissection of the interventricular septum by unruptured aneurysm of the left sinus of Valsalva in a patient who had undergone aortic valve replacement for rheumatic aortic valve insufficiency 5 years previously. The patient had worn a permanent pacemaker for 1 year to manage complete atrioventricular block. Sufficient information was provided by echocardiography and aortography to confirm the diagnosis. Operative correction consisted of obliteration of the aneurysm sac and closure of the outward orifice with a Dacron patch from the side of the aortic sinus.
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