# Bentall procedure for giant unruptured right sinus of Valsalva aneurysm treated

## TL;DR

A 72-year-old woman with a large unruptured heart aneurysm underwent successful surgery to prevent heart failure.

## Contribution

The case demonstrates the effectiveness of the Bentall procedure for treating giant unruptured SVAs with valve issues.

## Key findings

- The Bentall procedure successfully treated a 25-mm right SVA with severe aortic regurgitation.
- The patient had no recurrence and remained stable at 2-year follow-up.
- The procedure offers durable prevention of late valve issues and reintervention.

## Abstract

A sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly that may remain silent until rupture, often leading to acute heart failure. Surgical intervention is advised for unruptured SVAs when large, progressive, or associated with aortic regurgitation (AR). We report a 72-year-old woman with a 25-mm right coronary SVA and severe symptomatic AR. Transthoracic echocardiography confirmed severe AR with preserved ventricular function. A Bentall procedure using a bioprosthetic valve and Valsalva graft was performed, with coronary button reimplantation with the Carrel patch technique. The postoperative course was uneventful, and the patient remained free of recurrence at 2-year follow-up. This case highlights the Bentall procedure as a durable option for unruptured SVA with root distortion and valve involvement, offering reliable prevention of late AR and reintervention.