Abstract: Unruptured aneurysms of Valsalva sinus are most often
asymptomatic conditions discovered accidentally but with fatal potential
whenever complications such as rupture occur. Therefore, whenever
incidentally diagnosed, these pathologic conditions should be repaired
in order to prevent catastrophic complications and even sudden death.
Here we describe a case of an asymptomatic 42 young man with a large
unruptured sinus of Valsalva aneurysm (SVA) originating from a
noncoronary sinus with a competent tricuspid aortic valve. The diagnosis
was made accidentally by transthoracic echocardiography (TTE) and
confirmed by computed tomography angiography (CA) and cardiac
catheterization. The aneurysm was resected on a cardiopulmonary by-pass,
and the sinus was successfully reconstructed with a bovine pericardial
patch preserving the competence of the native aortic valve. In
conclusion, bovine pericardial patch might be successfully used in order
to reconstruct Valsalva sinus in cases presenting aneurysmal dilatation
at this level.