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Case Reports

Sinus of Valsalva Aneurysm Repair With Partial Allograft, and 10-Year Follow-Up

Department of Cardiothoracic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina

Accepted for publication April 13, 2010.

^_* Address correspondence to Dr Hines, Department of Cardiothoracic Surgery, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157 (Email: mhines{at}wfubmc.edu).

Sinus of Valsalva aneurysms are rare congenital or acquired defects that frequently are manifested by rupture into adjacent cardiac structures. Most aneurysms involve a portion of the sinus, and can be surgically treated with primary or patch closure of the defect. We present a case report of a giant aneurysm that involved the entire noncoronary sinus of Valsalva, and describe a previously unreported technique with 10-year follow-up using a partial aortic allograft to reconstruct the abnormal aortic sinus, preserving the native valve leaflets and normal sinus geometry and averting use of prosthetic materials.