Selective Sinus Replacement for a Patient With an Unruptured Sinus of Valsalva Aneurysm

Annals of Thoracic Surgery Short Reports 2026 Open access

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Authors: Takuya Matsushiro, Ryotaro Kitadai, Naoki Edo, Ren Saito, Shinichi Imai, Yujiro Miura
DOI: 10.1016/j.atssr.2025.12.020
Cited by: 1
References: 8

Abstract

This report describes the case of an 82-year-old man incidentally diagnosed with an unruptured saccular aneurysm of the left coronary sinus, a condition that occurs infrequently. Computed tomography and echocardiography revealed a 10-mm aneurysm. The aneurysm and the surrounding left sinus wall were resected and reconstructed using a polyester graft with a selective sinus replacement technique. This case supports the feasibility and safety of elective surgical treatment for an unruptured sinus of Valsalva aneurysm in high-risk anatomical locations, particularly using a selective sinus replacement approach to preserve valve function and coronary flow while minimizing the risk of recurrence.

Fields of Study & Subjects

Coronary Artery Anomalies Vascular Malformations Diagnosis and Treatment Infective Endocarditis Diagnosis and Management

Publication details

Journal / source
Annals of Thoracic Surgery Short Reports
Publisher
Elsevier BV
Volume
4
Issue
3
Pages
766–769
Publication date
13 January 2026
Language
EN