Fig. 2
From: Florida sleeve technique for a right sinus of Valsalva aneurysm: a case report
a The right SVA is excised, leaving about 5 mm of the aortic wall. b, c Operative schema. The aortic root is covered with a 28-mm Valsalva graft having a left side “coronary keyhole.” Seven subannular sutures are placed at the commissures and midpoint of the left and non-coronary cusps, and two are placed at the right coronary cusp. The residual right sinus of Valsalva wall is sutured with 5–0 monofilament polypropylene pledged with Teflon felt to reinforce the fragile aortic wall. SVA: sinus of Valsalva aneurysm; RSV: right sinus of Valsalva; LSV: left sinus of Valsalva; NCSV: non-coronary sinus of Valsalva; RCA: right coronary artery; LCA: left coronary artery