World journal for pediatric & congenital heart surgery, 12 2 2022, Pages 21501351221109193 Surgical Repair of a Sinus of Valsalva Aneurysm. Regeer MV, van der Zwaan HB, Schoof PH, van Aarnhem EEHL

A surgically challenging case of an unruptured Sinus of Valsalva aneurysm (SoVA) with severe aortic regurgitation (AR) due to cusp prolapse is presented. Sinus reconstruction with a patch cut out from the sinus portion of a Gelweave Valsalva graft (Terumo Vascutek) was performed. Intraoperative measurements showed insufficient effective height of the right coronary cusp; therefore, cusp plication and pericardial patch augmentation of the right coronary cusp were performed with satisfying result.

World J Pediatr Congenit Heart Surg. 2022 7:21501351221109193