Eur J Cardiothorac Surg 2006;29:608
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Saccular aneurysm of the left sinus of Valsalva in a Freestyle® bioprosthesis
Emma Wilton
a
,
Neil Roberts
a
,
Nick Bunce
b
,
Marjan Jahangiri
a
,
*
a Department of Cardiothoracic Surgery, St. George's Hospital Medical School, London, UK
b Department of Cardiology, St. George's Hospital Medical School, Blackshaw Road, London SW17 0QT, UK
Received 26 October 2005;
received in revised form 11 January 2006;
accepted 16 January 2006.
* Corresponding author. Tel.: +44 208 725 3565; fax: +44 208 725 2049. (Email: marjan.jahangiri{at}stgeorges.nhs.uk).
Key Words: Aneurysm • Aortic root • Aortic valve
A 62-year-old male presented with chest pain 3 years following Freestyle® bioprosthetic aortic root replacement for streptococcal endocarditis. MRI showed saccular aneurysm of left neo-sinus of Valsalva (Fig. 1
), compressing left main stem. Entrance of aneurysm was closed using patch of bovine pericardium, ensuring that valve morphology was not distorted (Fig. 2
).
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Fig. 1. Oblique sagittal 3D MRI showing the left ventricular outflow tract; arrow, aneurysm of the left neo-sinus of Valsalva.
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Fig. 2. Trans-oesophageal echocardiograms. (A) Pre-CPB. The aneurysm is visible at the left sinus of Valsalva; arrow, entrance to the aneurysm sac. (B) Post-CPB. The aneurysm has been closed using a pericardial patch; arrow, pericardial patch.
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