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CASE REPORTS  CARDIAC SECTION 

The Journal of Cardiovascular Surgery 2001 October;42(5):625-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Unruptured aneurysm of the right coronary sinus of Valsalva with type B aortic dissection

Akashi H., Tayama K., Fujino T., Hayashi S., Tobinaga S., Aoyagi S.

From the Department of Surgery, Kurume University School of Medicine, Kurume, Japan


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A seventy-two ­year-­old ­man, ­who com­plained of ­severe ­back ­pain, ­was ­referred to ­our hos­pi­tal. Digital sub­trac­tion angio­gram (­DSA) delin­eat­ed an extra­car­diac unrup­tured aneu­rysm of ­the ­right cor­o­nary ­sinus of Valsalva ­and ­acute ­type B aor­tic dis­sec­tion. Patch plas­ty of ­the ­right cor­o­nary ­sinus ­with reim­plan­ta­tion of ­the ­right cor­o­nary ­artery ­using a Dacron ­graft ­was per­formed. Postoperative ­DSA con­firmed suc­cess­ful recon­struc­tion of ­the aor­tic ­root ­and ­the pat­ent ­right cor­o­nary ­artery.

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