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Updated: Aug 6, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Managing a right sinking sinus anatomy during valve-sparing aortic root replacement
Amartya Dave1,2, Bo Yang3, Elaine E Tseng1,2
1Division of Adult Cardiac Surgery and Lung Transplantation, University of California, San Francisco, San Francisco, CA, USA
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|July 16, 2026
Summary
A young man with a large aortic root aneurysm underwent successful valve-sparing aortic root replacement. This complex case involved a unique "sinking" sinus of Valsalva requiring a planned right ventriculotomy.
Area of Science:
- Cardiovascular Surgery
- Aortic Aneurysm Research
- Congenital Heart Defects
Background:
- Aortic root aneurysms can occur in young, healthy individuals.
- A "sinking" right sinus of Valsalva is a rare anatomical variation.
- Surgical repair is necessary to prevent aortic dissection or rupture.
Purpose of the Study:
- To present a case of aortic root aneurysm with a "sinking" sinus of Valsalva.
- To describe the surgical technique used for repair.
- To highlight the successful outcome of valve-sparing aortic root replacement in this complex scenario.
Main Methods:
- Valve-sparing aortic root replacement (VSARR).
- Planned right ventriculotomy.
- Management of a 5.0 cm aortic root aneurysm.
Main Results:
- Successful completion of valve-sparing aortic root replacement.
- The patient tolerated the planned right ventriculotomy.
- The aortic root aneurysm was effectively repaired.
Conclusions:
- Valve-sparing aortic root replacement is a viable option for young patients with aortic root aneurysms.
- Complex anatomical variations can be managed with careful surgical planning.
- Successful outcomes are achievable even with challenging cases.
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