Author/Authors :
Afshar, Ata H. State University of New York at Buffalo - Department of Anesthesiology, USA , Kolesnikov, Sergei State University of New York at Buffalo - Department of Anesthesiology, USA , Pourafkari, Leili State University of New York at Buffalo - Department of Anesthesiology, USA , Pourafkari, Leili tabriz university of medical sciences - Cardiovascular Research Center, ايران , Nader, Nader D. State University of New York at Buffalo - Department of Anesthesiology, USA
Abstract :
A separation between the aortic media and annulus fibrosus causes a rare cardiac abnormality called sinus of Valsalva aneurysm (SVA) that may be congenital or acquired. It is more prevalent in the right coronary sinus (65%-85%) but it has been seen rarely in non-coronary (10%-30%) or Left coronary sinus ( 5%). The most common complication is rupture of the Aneurysm. We present an 80-year-old male with expanding right Valsalva sinus aneurysm and protruding into right ventricle. The conventional treatment is surgical repair under cardio-pulmonary bypass or percutaneous catheter closure. The aneurysm was successfully excised surgically under direct guidance of trans-esophageal echocardiography (TEE).
