Calcified giant congenital non-coronary sinus Valsalva aneurysm ruptured into the left ventricular outflow tract / Sol ventrikul cikis yoluna rupture olan konjenital sinus Valsalva anevrizma olgusu.A 42-year-old man with a six-month history of congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time. (NYHA NYHA New York Heart Association II) was referred to our hospital for evaluation. A calcified Calcified Hardened by calcium deposits. Mentioned in: Heart Valve Repair giant sinus Valsalva aneurysm (ASV) was detected with transesophageal echocardiography (TEE), computed tomography (CT) and angiography (Fig.1-2, Video 1. See corresponding video/movie images at www.anakarder.com). The aneurysm extended for 8.5 cm in length including the ascending tract, the arch and the descending tract of the aorta. Moreover, severe aortic valve regurgitation regurgitation /re·gur·gi·ta·tion/ (re-ger?ji-ta´shun) 1. flow in the opposite direction from normal. 2. vomiting. and mild mitral mitral /mi·tral/ (mi´tril) shaped like a miter; pertaining to the mitral valve. mi·tral adj. 1. Relating to a mitral valve. 2. Shaped like a bishop's miter. and tricuspid regurgitations have been noticed. [FIGURE 1 OMITTED] [FIGURE 2 OMITTED] During the operation (Fig.3), a 0.3x1.0 cm defect was found in the non-coronary sinus communicated with aneurysm. Degeneration of non-coronary leaflet, presumably pre·sum·a·ble adj. That can be presumed or taken for granted; reasonable as a supposition: presumable causes of the disaster. caused by aortic regurgitation, was seen. A Gore-Tex patch was used to close the outlet of the aneurysm at the non-coronary sinus. A metallic aortic valve was replaced. Before the weaning of the cardiopulmonary bypass, a severe mitral regurgitation was noticed on the control TEE. Therefore, a metallic mitral valve replacement Mitral valve replacement is a cardiac surgery procedure in which a patient’s mitral valve is replaced by a different valve. Mitral valve replacement is typically performed robotically or manually, when the valve becomes too tight (mitral valve stenosis) for blood to flow into was replaced. Further complications including an important hemorrhagic diathesis reliably caused by long cross-clamping time (260 minutes totally), occurred and lead to the death of a patient. [FIGURE 3 OMITTED] We describe our experience in the therapeutical management of a calcified ASV. We believe that the calcification of aneurysm wall is a factor that could contribute to increase mortality rate. Address for Correspondence/Yazisma Adresi: Dr. Ali Vefa Ozcan Siteler Mah. Barbaros Cad. 6248 Sok. C-Blok No: 3, 20070 Kinikli, Denizli, Turkey Phone: +90 258 212 34 94 Gsm: +90 532 574 49 57 Fax: +90 258 212 99 22 E-mail: vefaozcan@yahoo.com Ali Vefa Ozcan, * Harun Evrengul, Ibrahim Goksin, Gokhan Onem From Departments of Cardiovascular Surgery and * Cardiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey |
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