A 52-year-old @entity1 , height, 149 cm; weight, 40 kg, was admitted because of anterior chest discomfort and palpitations. There was no family history of @entity1614 . She had undergone replacement of the ascending aorta and aortic valve 10 years prior for @entity1580 . Postoperative pathological examination of the resected aortic wall revealed @entity5409 . Computed tomography(CT) 4 years after the surgery showed moderate enlargement of the preserved sinuses of Valsalva, and @entity6473 years after the surgery showed enlargement of the sinus. She consented to a reoperation. The prostheses were explanted, and the aortic root was replaced with a composite graft. The right coronary artery ostium was completely closed, and no graftable portions of the distal right coronary artery were detected. Thus, the left coronary artery alone was reimplanted. The @entity1 required extracorporeal membrane oxygenation for 10 days postoperatively, after which she recovered fully without complications. This case may indicate that the complete aortic root should be replaced during initial surgery of the ascending aorta or aortic valve in @entity1 with potential risk of sinus of @entity384 .

[Sinus of XXXX after replacement of the ascending aorta and aortic valve].

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity5409 :: ('MESH:D052177', 'Disease') :: ['cystic medionecrosis'] @entity384 :: ('MESH:D002311', 'Disease') :: ['Valsalva dilatation'] @entity1614 :: ('MESH:D008382', 'Disease') :: ['Marfan syndrome'] @entity6473 :: ('51438', 'Gene') :: ['CT 10'] @entity1580 :: ('MESH:C562834', 'Disease') :: ['DeBakey II aortic dissection']
@entity384 :: (MESH:D002311,Disease) :: ['Valsalva dilatation']
