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Los aneurismas del seno de Valsalva son anomalías poco frecuentes que pueden ser de carácter congénito o adquirido, y pueden ser intervenibles o no acorde con la presentación clínica. Se expone el caso de un paciente joven sin antecedentes cardiovasculares de importancia, que consulta por cuadro de dolor torácico y en quien se documenta de manera temprana aneurisma del seno de Valsalva asociado con insuficiencia mitral. Se intervino quirúrgicamente y fue dado de alta a los 90 días de la cirugía con evolución clínica favorable y remisión de la sintomatología cardiovascular.
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