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Updated: Apr 29, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Direct closure of an asymptomatic right coronary sinus of Valsalva aneurysm
Giulio Tessitore1, Francesco Alamanni2, Sarah Ghulam Ali3
1Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Fondazione Monzino, Milan, Italy giulio.tessitore@libero.it.
Abstract:
A 52-year-old man was referred for evaluation of palpitation. Transthoracic echocardiography revealed an extracardiac aneurysm of the right coronary sinus of Valsalva, and normal anatomy of the aortic valve with no regurgitation. Three-dimensional computed tomography confirmed the aneurysm with a diameter of 21 × 13.7 mm arising from the right coronary sinus of Valsalva under the right coronary artery. Surgical repair was performed without changing the normal anatomy of the aortic valve, preserving the right coronary ostium. Intraoperative and postoperative echocardiography showed complete closure of the aneurysm with normal functioning of the aortic valve.
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