Ata H. Afshar
1, Sergei Kolesnikov
1, Leili Pourafkari
1,2, Nader D. Nader
1*1 Department of Anesthesiology, State University of New York at Buffalo, Buffalo, NY, USA
2 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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).