[Surgical treatment for XXXX of the sinus of valsalva ruptured into the right atrium after mycotic right coronary artery aneurysm repair;report of a case].

@entity1 @entity5880 @entity50 @entity1457 @entity1163 @entity616 @entity281 @entity439 @entity1167 @entity291 @entity2849
A 67-year-old @entity1 was admitted to our hospital by ambulance after @entity1163 due to complete @entity616 . He had received surgical treatment for @entity5880 of the right coronary artery 3 months before, with patch plasty of the right sinus of Valsalva and bypass grafting to the right coronary artery (RCA) as well as the left anterior descending branch. Computed tomography revealed @entity2849 of the right Valsalva sinus of about 8 cm in diameter and a shunt flow to the right atrium. The previous bypass graft to RCA had been occluded due to compression by the @entity439 . As he was in a @entity1457 state, emergency operation was performed. Cardiopulmonary bypass was first established, and after the rectal temperature reached to 26 degrees centigrade, the chest was opened. The @entity2849 burst out when the sternum was re-opened. Under @entity1167 , the ascending aorta was clamped, and then the circulation was resumed. The previous @entity291 pericardium patch repairing the Valsalva sinus was detached due to @entity281 and pus were observed in the @entity439 . At the bottom of the @entity439 , a fistula connected to the right atrium was found. Debridement around the @entity439 was performed as much as possible. The @entity50 was repaired with a Dacron patch immersed in gentian violet. The postoperative course was uneventful without any recurrence of @entity281 .
