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 · The aortic root at the sinuses of Valsalva was dilated, measuring about 54 cm in diameter (Figure 4) Echocardiogram showed a tricuspid aortic valve As the patient had a focal aneurysm with a normal tricuspid aortic valve with no aortic insufficiency, he underwent successful resection of the thrombus with a pericardial patch repair of the SOVA When possible,Stress analysis of the aortic valve with and without the sinuses of Valsalva J Heart Valve Dis 01; * Salica A, Pisani G, Morbiducci U, Scaffa R, Massai D, Audenino A, Weltert L, Wolf LG, De Paulis R The combined role of sinuses of Valsalva and flow pulsatility improves energy loss of the aortic valve Eur J Cardiothorac Surg 16;–7 Sinus Loukas M, Bilinsky E, Bilinsky S · Sinus of Valsalva is the aortic root area between the aortic valve annulus and the sinotubular ridge Normally, it has a diameter of up to 40 cm in men and 36 cm in women and contains the coronary ostia 1 The aortic valve normally has three cusps named left coronary