Ruptured sinus of Valsalva aneurysm developped forty years after aortic valve replacement by Starr-Edwards mechanical valve
Hicham Labsaili, Pascal Leprince
The Pan African Medical Journal. 2015;20:80. doi:10.11604/pamj.2015.20.80.5983

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Ruptured sinus of Valsalva aneurysm developped forty years after aortic valve replacement by Starr-Edwards mechanical valve

Cite this: The Pan African Medical Journal. 2015;20:80. doi:10.11604/pamj.2015.20.80.5983

Received: 21/12/2014 - Accepted: 26/01/2015 - Published: 29/01/2015

Key words: Aneurysm, sinus of Valsalva, redo cardiac surgery

© Hicham Labsaili et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/20/80/full

Corresponding author: Hicham Labsaili, Division of Cardiac Surgery, Pitié-Salpêtrière Hospital, 47 Boulevard de l’Hôpital, 75013 Paris, France (hachoum.labs@hotmail.com)


Ruptured sinus of Valsalva aneurysm developped forty years after aortic valve replacement by Starr-Edwards mechanical valve

 

Hicham Labsaili1,&, Pascal Leprince1

 

1Assistance Publique-Hôpitaux de Paris, Department of Cardiac and Thoracic Surgery, Institute of cardiology, La Pitié-Salpêtrière hospital, Paris, France

 

 

&Corresponding author
Hicham Labsaili, Division of Cardiac Surgery, Pitié-Salpêtrière Hospital, 47 Boulevard de l’Hôpital, 75013 Paris, France

 

 

Image in medicine

Sinus of Valsalva aneurysm is a rare anomaly, most often caused by a congenital absence of muscular and elastic tissue in the aortic wall of the sinus of Valsalva. It was first described in 1938. The incidence is higher in eastern than western populations. Various surgical repair techniques have been reported with good results. In this case, a 61 years old man, with history of aortic valve replacement by mechanical Starr-Edwards valve forty years ago, developed an aneurysm of sinus of Valsalva. After femoro femoral cardiopulmonary bypass and sternotomy, we found a rupture in non coronary sinus, the mechanical valve is removed and a biological Bentall procedure is performed.

 

Figure 1: opening of the aneurysm of the sinus of Valsalva and starting to remove the Starr-Edwards aortic valve, then a biological Bentall procedure was performed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved