The purpose of this article is to report the surgical treatment of ruptured sinus of Valsalva aneurysms in two patients. First case was a young woman whose aneurysm originated in the right sinus and entered the right ventricle, besides a mild coarctation of the aorta. Surgical repair was carried out using cardiopulmonary bypass with moderate hypothermia. After aortotomy the ruptured sinus of Valsalva was directly closed with interrupted pledgeted sutures. The second case, a 35 years old man with symptoms for six months, including dyspnea and chest pain. Diagnosis was established by echocardiogram and cardiac catheterization findings. It was a ruptured aneurysm of the right sinus of Valsalva which drained into the right ventricle. There was no ventricular septal defect or aortic regurgitation. Surgical approach was made through ascending aortotomy. Aortic valve had three practically normal leaflets. A patch of bovine pericardium was used to close the defect by means of interrupted fine monofilament sutures. Postoperative period in both cases was uneventful. Both patients were discharged one week later. After a short follow-up, they are completely asymptomatic.
Sinus of Valsalva; Aortic rupture; Aortic aneurysm; Cardiac surgery procedures
