Invited commentary on the article, the title “surgical correction of giant extracardiac unruptured aneurysm of the right coronary sinus of Valsalva: Case report and review of the literature”

Excerpt

The authors described a 52-year-old male with a large right coronary sinus of Valsalva successfully treated by the Bentall operation. Although the patient had no typical sings of Marfan syndrome, the histological examination showed elastic fiber lacking and mucin deposits in the media which resembles the findings of cystic medial necrosis. Choice of surgical procedure seems to be appropriate because if aortic sinus replacement was selected, remaining tissue may cause later events such as aneurysmal change or dissection since histological changes might have occurred in the other part of the aorta. And also long-term results of the Bentall operation are satisfactory with a little complication rate [1, 2]. However, the Bentall operation using a mechanical valve needs lifetime anticoagulation therapy and it is a burden for the patient. …