ENDOANEURYSMAL REPAIR OF A CONGENITAL RIGHT CORONARY SINUS ANEURYSM

An 82-year-old woman complained of lightheadedness, dizziness, syncope , palpitations, and chest pains of 2 years' duration, Chest X-ray demo nstrated cardiomegaly, while transesophageal echocardiography (TEE) di sclosed an aneurysm of the right coronary sinus (RCS), 6 x 6 cm in dia meter, filled with clots and obstructing the right ventricular (RV) ou tflow tract, A total cardiopulmonary bypass was instituted with hypoth ermia to 28 degrees C esophageal temperature, After removing the clots , we applied an endoaneurysmal repair with a synthetic patch to the en try of the aneurysm and closed the aneurysm itself, We recommend our a pproach of an endoaneurysmal repair for similar aneurysms of the coron ary sinus of Valsalva.