Varón de 60 años con antecedente de hipertensión arterial, diagnosticado incidentalmente de aneurisma del seno de Valsalva derecho de 7 cm con insuficiencia aórtica ligera. Bajo circulación extracorpórea y pinzamiento aórtico se reseca el aneurisma y se reconstruye el defecto con un parche de prótesis Dacron Hemashield Platinum® (Maquet, Rastatt, Alemania), reimplantando el ostium coronario derecho y realizando derivación aortocoronaria a primera marginal con vena safena (hallazgo en cateterismo preoperatorio). La ecocardiografía intraoperatoria objetivó insuficiencia aórtica trivial residual. Como complicación postoperatoria presentó ictus en el territorio de la cerebral media izquierda, con restitutio ad integrum.
A 60-year-old hypertensive man was incidentally diagnosed of a right sinus of Valsalva aneurysm measuring 7 cm and causing mild aortic regurgitation. Under cardiopulmonary bypass and aortic cross-clamping, the aneurysm was resected and the defect was reconstructed with a Dacron Hemashield Platinum® patch graft (Maquet, Rastatt, Germany). The right coronary ostium was reimplanted and a saphenous vein graft constructed to the first marginal branch (finding in preoperative coronary angiography). Intraoperative echocardiography showed trivial aortic regurgitation. As postoperative complication, the patient had a left middle cerebral artery stroke, with restitutio ad integrum.
