A 56-year-old woman presented with dyspnoea on exertion. Chest X-ray showed an ill-defined opacity in right lower chest. Echocardiography, CECT thorax, CT and coronary angiography showed a large unruptured aneurysm with organised thrombus, arising from the non-coronary sinus of Valsalva with calcification around the communication and surrounding aorta without any atrial or ventricular communication and a normal aortic valve, which was compressing the right lung (Fig. 1 and Supplementary Figs. 1–3). The operative findings included dense pericardial adhesions with a large unruptured aneurysm arising from the non-coronary sinus of Valsalva filled with organised clots. The communication with the aortic root and the surrounding anterior ascending aorta was calcified around the right coronary ostia. The aortic valve, left coronary ostia and the distal ascending aorta were normal (Supplementary Fig. 4). After partial excision of the aneurysmal sac, replacement of ascending aorta distal to origin of left coronary ostia with a prosthetic graft and reimplantation of right coronary button was done using cardiopulmonary bypass due to extensive aortic wall calcification.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Heart, Lung and Circulation
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Accepted: February 8, 2010
Received in revised form: February 3, 2010
Received: November 20, 2009
© 2010 Published by Elsevier Inc.