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Saccular aneurysm of the aortic cusp associated with discrete subaortic stenosis. 2005
Seiji Matsukuma, and
Kiyoyuki Eishi, and
Shiro Yamachika, and
Tomayoshi Hayashi, and
Shiro Hazama, and
Hiroichiro Yamaguchi, and
Tsuneo Ariyoshi, and
Hideaki Takai, and
Tomohiro Odate, and
Daisuke Onohara, and
Makoto Yanatori
Department of Cardiovascular Surgery, Nagasaki University School of Medicine, Nagasaki, Japan. seiji731@net.nagasaki-u.ac.jp
A 54-year-old male who experienced a syncopal episode underwent aortic valve replacement for aortic stenosis and regurgitation. The aortic valve was incompetent as a result of thickening of the left coronary cusp and noncoronary cusp. In addition a saccular aneurysm was indicated on the left coronary cusp. A shelf of tissue protruding at right angles from the ventricular septum was particularly prominent below the right coronary cusp, resulting in subvalvular stenosis. The cause of the saccular aneurysm was most likely caused by the long-term effects of the jet stream instigated by discrete subaortic stenosis.
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