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Case Reports
. 2003;30(2):152-4.

Unruptured aneurysm of the sinus of Valsalva presenting with right ventricular outflow obstruction

Roy Thankachen  1 , Roy Gnanamuthu, Harikrishna Doshi, Vinayak Shukla, Roy John Korula
Affiliations
Case Reports

Unruptured aneurysm of the sinus of Valsalva presenting with right ventricular outflow obstruction

Roy Thankachen et al. Tex Heart Inst J. 2003.

Abstract

Sinus of Valsalva aneurysms rarely present until rupture occurs. We describe the case of a patient who presented with acute right heart failure and upon investigation was found to have an unruptured sinus of Valsalva aneurysm causing right ventricular outflow obstruction; there was an associated subaortic ventricular septal defect. To the best of our knowledge, only 1 other case with these features has been reported in the medical literature. The diagnosis was made by transthoracic echocardiography and cardiac catheterization. Through an aortic and right ventricular approach, we successfully excised the aneurysmal right coronary sinus, closed the ventricular septal defect, and replaced the aortic valve.

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Figures

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Fig. 1 Left ventricular angiogram shows the aneurysm of the right coronary cusp extending into the right ventricular outflow tract.
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Fig. 2 Drawing of the aneurysm (A) arising from the right coronary cusp (RRC). Ao = aorta; hatched line = aneurysmally dilated wall of the right ventricular outflow tract; LCC = left coronary cusp of the aorta; NCC = noncoronary cusp of the aorta; PA = pulmonary artery; RV = right ventricle; SVC = superior vena cava; TV = tricuspid valve
See this image and copyright information in PMC

References

    1. Bulkley BH, Hutchins GM, Ross RS. Aortic sinus of Valsalva aneurysms simulating primary right-sided valvular heart disease. Circulation 1975;52:696–9. - PubMed
    1. Liau CS, Chu IT, Ho FM. Unruptured congenital aneurysm of the sinus of Valsalva presenting with pulmonary stenosis. Catheter Cardiovasc Interv 1999;46:210–3. - PubMed
    1. Marques KM, De Cock CC, Visser CA. Isolated unruptured aneurysm of the right sinus of Valsalva causing right ventricular outflow obstruction. Heart 1999;81:447–8. - PMC - PubMed
    1. Liang CD, Chang JP, Kao CL. Unruptured sinus of Valsalva aneurysm with right ventricular outflow tract obstruction associated with ventricular septal defect. Cathet Cardiovasc Diagn 1996;37:158–61. - PubMed
    1. Kirklin JW, Barratt-Boyes BG. Congenital aneurysm of the sinus of Valsalva. In: Cardiac surgery. Morphology, diagnostic criteria, natural history, techniques, results, and indications. 2nd ed. New York: Churchill Livingstone; 1993. p. 826.

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