Surgery is usually by dual exposure technique with both aorta and the chamber of termination being explored. The aneurysmal sac is removed and the defect repaired either by direct suture or patch closure. Associated lesions like ventricular septal defect and aortic regurgitation will be tackled in the same surgical sitting.

Surgical Repair: Most sinus of Valsalva aneurysms require surgical intervention to prevent complications. The surgical approach involves closing the aneurysm sac, preserving aortic valve function, and addressing any associated defects.

Surgery may consist of simple patch closure, bilateral tunnel closure (entry and exit) or more radical operation like Bentall in case the whole aortic root should be addressed. Overall results are excellent, independently of the clinical presentation (acute or elective) with a mortality approaching zero.