Patient: Hello doctor, I am a male patient, 34 years old, for ten years there is a murmur, but the electrocardiogram is normal, there are no symptoms, the doctor also did not let for further examination, last year there is a long-distance running activity, after running a few hundred meters feel chest tightness, weakness, in January this year in Heze City Hospital for further examination, the aorta right coronary sinus wall is thin, outward expansion of about 7mm, the test results for the right coronary Sinus aneurysm, aortic valve regurgitation in a small amount. No treatment has been performed. 1. Do I need surgery now? If yes, is interventional surgery or other surgery appropriate? 2.If not, when is the best time to do it? Do I need to do it after it breaks? Is there any risk to my life after it is broken? The internal diameter of each atrial cavity is normal, the septum and the thickness of the left ventricular wall are normal, the movement is coordinated, and the contraction amplitude is normal. The wall of the right coronary sinus of the aorta was thin and bulging outward about 7mm, and there was no obvious abnormality in the morphology and structure of the valves. The relationship of the aorta was normal. The pericardial cavity was not abnormal. The descending aortic arch was not abnormal. Ultrasound impression: aortic right coronary sinus aneurysm, small amount of aortic valve regurgitation. Doppler examination: small amount of aortic valve regurgitation. Wang Tao, Department of Cardiac Surgery, Qilu Hospital, Shandong University Wang Tao, Department of Cardiac Surgery, Qilu Hospital: From the data, it is ‘aortic sinus aneurysm’, and there are no other comorbidities and no obvious symptoms, so there is no need for surgical treatment at present. The aortic sinus aneurysm can be observed, and once it ruptures, surgery is performed as soon as possible, and interventional treatment cannot be performed. Acute symptoms due to ruptured ‘aortic sinus aneurysm’ account for about 35% of cases, 45% show only gradual onset of dyspnea, and in about 20% of cases, the onset is insidious and there is no clear medical history. The typical symptom is sudden onset of chest pain, located in the anterior chest, which may involve the upper abdomen, and is persistent, mostly severe, and usually without radiating pain. It may also present as a milder vague pain. It is accompanied by dyspnea and palpitations. The factors that contribute to the rupture of ‘aortic sinus aneurysm’ are often heavy physical labor, strenuous exercise, and trauma, so try to avoid them. The current cost of surgery is about 30,000, and the success rate of surgery is over 96%.