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Proc (Bayl Univ Med Cent) 2020 Dec 14;34(2):283-285. Epub 2020 Dec 14.

Department of Cardiovascular Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.

Sinus of Valsalva aneurysm is a rare aortic root defect that can be dangerous due to its serious complications. It is defined as dilatation of one or more of the aortic valve sinuses. It is usually asymptomatic, and patients rarely present with chest pain, arrhythmias, or heart failure. Read More

J Clin Ultrasound 2021 Mar 3. Epub 2021 Mar 3.

Department of Emergency Intensive Care Unit, The Affiliated Hospital of Qingdao University, Qingdao, China.

Aortic sinus aneurysms are mainly congenital malformations that can involve the left, right, and noncoronary sinus. Rupture of the noncoronary sinus aneurysms is rare, and its mechanisms and complications are still imperfectly known due to the rarity of this condition. A case of multiple organ dysfunction caused by a ruptured noncoronary sinus aneurysm has been reported. Read More

Heart Surg Forum 2021 02 19;24(1):E188-E190. Epub 2021 Feb 19.

Department of Cardiovascular Surgery at West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

The occurrence of a giant ruptured aneurysm originating from the noncoronary sinus of Valsalva in the right atrium is extremely rare. Herein, a case is presented of a giant ruptured noncoronary sinus of Valsalva aneurysm (SVA) that was protruding into the right atrium, which was almost completely occupied by an aneurysm. A 61-year-old female was referred to the hospital for exertional palpitation and dyspnea. Read More

Thorac Cardiovasc Surg Rep 2020 Jan 13;9(1):e55-e57. Epub 2020 Dec 13.

Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.

We experienced two cases of postoperative iatrogenic aorto-right atrial fistula (ARAF) after tricuspid valve repair (TVR) using minimally invasive cardiac surgery (MICS) technique. In both the cases, the flow of ARAF passed through the sinus of Valsalva near the noncoronary cusp (NCC)/right coronary cusp (RCC) commissure or NCC to right atrium. The quality of the fine needle used in the MICS technique may be inferior to that used in conventional surgery; ARAF after TVR could be a unique pitfall with the MICS technique. Read More

Aorta (Stamford) 2020 Jun 5;8(3):80-82. Epub 2020 Nov 5.

Division of Cardiac Surgery, Suburban Hospital, Johns Hopkins Medicine, Bethesda, Maryland.

About one-tenth of patients with untreated chronic syphilis and tertiary syphilis develop structural complications involving the coronary ostia, ascending aorta, or aortic root. We describe a unique case of a large aortic root aneurysm of the noncoronary sinus with extrinsic compression of the right coronary artery, a complication of tertiary syphilis. Surgical intervention involved valve-sparing aortic root reconstruction with right coronary ostia reimplantation (hemi-Yacoub). Read More