Anesthetic Management of a Patient with Unruptured Sinus of Valsalva Aneurysm with Right Ventricular Outflow Tract Obstruction

Naoji Mita; Shinji Kawahito; Tomohiro Soga; Toshiko Katayama; Narutomo Wakamatsu; Tomiya Kawahara; Nami Kakuta; Eisuke Hamaguchi; Yasuo Tsutsumi　M; Katsuya Tanaka; Kazumi Takaishi; Hiroshi Kitahata

doi:10.11312/ccm.37.195

Naoji Mita, Shinji Kawahito, Tomohiro Soga, Toshiko Katayama, Narutomo Wakamatsu, Tomiya Kawahara, Nami Kakuta, Eisuke Hamaguchi, Yasuo Tsutsumi　M, Katsuya Tanaka, Kazumi Takaishi, Hiroshi Kitahata

Author information

Naoji Mita
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Shinji Kawahito
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Tomohiro Soga
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Toshiko Katayama
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Narutomo Wakamatsu
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Tomiya Kawahara
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Nami Kakuta
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Eisuke Hamaguchi
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Yasuo Tsutsumi　M
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Katsuya Tanaka
Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Kazumi Takaishi
Department of Dental Anesthesiology, Tokushima University Hospital, Tokushima, Japan
Hiroshi Kitahata
Department of Dental Anesthesiology, Tokushima University Hospital, Tokushima, Japan

Keywords: sinus of Valsalva aneurysm, right ventricular outflow obstruction, transesophageal echocardiography, anesthetic management

JOURNAL FREE ACCESS

2016 Volume 37 Issue 3 Pages 195-198

DOI https://doi.org/10.11312/ccm.37.195

Details

Abstract

Sinus of Valsalva aneurysm (SVA) is a rare cardiac defect that can be congenital or acquired through infection, trauma, or degenerative diseases. A 79-year-old man was diagnosed with upper jaw cancer and in preoperative transthoracic echocardiography and computed tomography was found to have an unruptured right SVA causing right ventricular outflow obstruction. Under general anesthesia, surgical repair was performed after instituting cardiopulmonary bypass. We successfully performed the anesthetic management of the SVA surgical repair using transesophageal echocardiography.

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