Sinus of valsalva aneurysm repair in an octogenarian using CorMatrix ECM®
Abstract
Introduction: Unruptured sinus of Valsalva aneurysms are surgically treated after change in clinical presentation or increased size on serial echocardiography. Prostheses such as Dacron grafts and Gortex are notably used, but use of CorMatrix has not previously been reported. The following case presents the first reported use of CorMatrix for sinus of Valsalva repair.
Presentation of case: An 84-year-old male presented with a 6.3 cm right sinus of Valsalva aneurysm seen with echocardiography. Surgical sinus of Valsalva repair involved inserting BioGlue within the aneurysm and closing the defect with CorMatrix. Twomonth follow-up showed no significant postoperative complications.
Discussion: The presented case reports the first use of CorMatrix for sinus of Valsalva repair and represents the oldest patient in the world to undergo this surgery. Sinus of Valsalva aneurysms are asymptomatic in 25% of cases and are incidentally found with echocardiography. Although survival in elderly patients specifically is unknown, postoperative survival overall is 88% at 20 years. CorMatrix is commonly used for structural heart defect repairs, but has not been described for sinus of Valsalva repairs.
Conclusions: CorMatrix presents as a suitable prosthesis for sinus of Valsalva aneurysm repair.
Presentation of case: An 84-year-old male presented with a 6.3 cm right sinus of Valsalva aneurysm seen with echocardiography. Surgical sinus of Valsalva repair involved inserting BioGlue within the aneurysm and closing the defect with CorMatrix. Twomonth follow-up showed no significant postoperative complications.
Discussion: The presented case reports the first use of CorMatrix for sinus of Valsalva repair and represents the oldest patient in the world to undergo this surgery. Sinus of Valsalva aneurysms are asymptomatic in 25% of cases and are incidentally found with echocardiography. Although survival in elderly patients specifically is unknown, postoperative survival overall is 88% at 20 years. CorMatrix is commonly used for structural heart defect repairs, but has not been described for sinus of Valsalva repairs.
Conclusions: CorMatrix presents as a suitable prosthesis for sinus of Valsalva aneurysm repair.
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PDFDOI: https://doi.org/10.5430/css.v2n2p6
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Case Studies in Surgery ISSN 2377-7311(Print) ISSN 2377-732X(Online)
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