Rupture Sinus of Valsalva Repair Via a Mini-sternotomy

P0293 

Case Video Submission 

Osman Al-Radi (1), ragab Debis (2), Ahmed Elassal (3)

(1) King Abdulaziz University Hospital, Jeddah, Makkah, saudi arabia, (2) King Abdulaziz University, Jeddah, Makkah, saudi arabia, (3) King Abdulaziz University, Jeddah, Makkah, Saudi Arabia

Osman Al-Radi    -  Contact Me
King Abdulaziz University Hospital

ragab Debis    -  Contact Me
King Abdulaziz University

Ahmed Elassal    -  Contact Me
King Abdulaziz University

Osman Al-Radi    -  Contact Me
King Abdulaziz University Hospital

Rupture Sinus of Valsalva Repair Via a Mini-sternotomy


Osman Osama AL-Radi, MD, MSc, FRCSC1, Ragab Shehata Debis, MD1,
Ahmed Abdulrahman Elassal MD1.

(1) King Abdulaziz University, Department of surgery, Cardiac Surgery Unit, Jeddah, Saudi Arabia



Objective: Demonstration of a Ruptured sinus of Valsalva Repair via a mini-sternotomy by an intraoperative video


Case Video Summary:
A29-year-old male with a sub-arterial ventricular septal defect and rupture of sinus of Valsalva leading to an aortic to right ventricular fistula. He was admitted for urgent repair.
An upper mini-sternotomy was done. The pericardium was opened. The aorta and RA were cannulated. CPB was started. The aorta was clamped. Cardioplegia was given. A vent was placed in the RUPV to the LV. The aorta was incised. The aneurysmal tissue in the right sinus of Valsalva was excised. The VSD was closed with a patch of equine pericardium. Another equine patch was used to closed the aorta to RV fistula. The right cusp was resuspended with a commissural stich in the right to left commissure. A post operative echocardiogram showed a complete repair of the ventricular septal defect and a functioning aortic valve with trace insufficiency.
The patient had an uneventful hospital course and was discharge home on the 7th post operative day.

Conclusions:
Ruptured sinus of Valsalva can be repaired safely through a mini-sternotomy approach

Aortic Root