A Case of Sinus of Valsalva

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Abstract
A case of successfully repaired sinus of Valsalva-right ventricular fistula in a young male is presented. Exertional palpitation and dyspnea, slight enlargement of heart, and the continuous machinery murmur maximally heard at the left 3rd intercostal space, were the chief clinical manifestations and signs. Diagnosis was suspected by the right heart catheterization and confirmed with the direct entrance of arterial catheter into the right ventricle from immediately above the aortic valve in retrograde aortography.Under the total cardiopulmonary bypass, using the pump oxygenator, aneurysm of Valsalva sinus was resected and sutured, and associated high IVSD was also closed. Postoperative course was uneventful.Brief summary of cases of this disease in Japan is also tabulated.

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