Abstract
Abstract Congenital non-coronary sinus of Valsalva aneurysm is a rare finding and associated complicating pathologies can include tricuspid stenosis (TS) and tricuspid regurgitation (TR) in unruptured aneurysms. However, there are few reports to analyze those pathologies with intraoperative transesophageal echocardiography (TEE). We report a case of non-coronary sinus of Valsalva aneurysm who underwent patch repair. Intraoperative TEE provided additional information of severe TR worsened by the restriction of the anterior tricuspid leaflet motion due to the aneurysm, and it was successfully repaired with tricuspid ring annuloplasty. Multimodal assessment using intraoperative TEE was useful for detecting pathophysiological features of noncoronary sinus of Valsalva aneurysm and associated tricuspid valve lesion, and decision making for additional procedures.
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