M. Cottogni et al., SUBTOTAL RAREFICATION OF ONE AORTIC LEAFLET IN A BICUSPID AORTIC-VALVE DUE TO LARGE ANEURYSM OF LEFT VALSALVA SINUS, Scandinavian journal of thoracic and cardiovascular surgery, 29(2), 1995, pp. 87-90
In a 39-year-old man an isolated, unruptured extracardiac aneurysm of
the left sinus of Valsalva led to almost complete rarefication of one
aortic valve leaflet, causing insufficiency of the valve. At operation
the aneurysm entrance was closed with a patch and prosthetic replacem
ent of the bicuspid aortic valve was performed. The result was satisfa
ctory.