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

Sinus of Valsalva aneurysm (SVA) is a rarecardiac defect that can be congenital or acquiredthrough infection, trauma, or degenerative diseases.A 79-year-old man was diagnosed with upper jawcancer and in preoperative transthoracic echocardiographyand computed tomography was foundto have an unruptured right SVA causing rightventricular outflow obstruction. Under generalanesthesia, surgical repair was performed afterinstituting cardiopulmonary bypass. We successfullyperformed the anesthetic management of theSVA surgical repair using transesophagealechocardiography.