SURGICAL CORRECTION OF ANEURYSM OF SINUS OF VALSALVA - A REPORT OF 45 CONSECUTIVE PATIENTS INCLUDING 8 WITH TOTAL REPLACEMENT OF AORTIC VALVE

Pathologic, diagnostic and therapeutic aspects of 45 patients with an aneurysm of the sinus of Valsalva are discussed. The surgical procedure must be individualized for a patient according to the pathologic situations when fibrotic or prolapsing aortic cusps are encountered. Three choices are available in the surgical correction of this lesion: simple circumferential Teflon patch, circumferential sandwiched Ivalon-Teflon patch and, finally, prosthetic replacement of the aortic valve after a patch. The presence of fibrotic prolapsing aortic cusps will dictate the choice of valve replacement, while the prolapse alone may be corrected by means of sandwiched patch technic. © 1969.