Patch Repair of Double Sinus of Valsalva Aneurysms

Abstract Background Sinus of Valsalva aneurysm (SoVA) is a rare, acquired or congenital heart anomaly in which one or more of the aortic sinuses become abnormally dilated. SoVAs are commonly asymptomatic and found incidentally on cardiac imaging studies. Unruptured SoVA may be associated with various forms of arrhythmia, angina, or exertional dyspnea. Symptom severity and type depend on the size and location of SoVA, as well as the degree of concomitant aortic regurgitation. Less frequently, SoVA may rupture and lead to heart failure and even cardiovascular collapse. Case presentation We report a case of a 76-year-old male incidentally diagnosed with two large, unruptured saccular sinus of Valsalva aneurysms, involving the left and right coronary sinuses, who underwent successful patch repair. Conclusion SoVAs are rare cardiac abnormalities which, when large or multiple, have an elevated risk of rupture leading to hemodynamic compromise and death. Timely surgical management should be prioritized in unique cases of large, numerous SoVAs.