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. 2010 Apr;18(4):209-11.
doi: 10.1007/BF03091763.

Rupture of right coronary sinus of Valsalva aneurysm into right ventricle

M C Post  1 , R L Braam, B E Groenemeijer, D Nicastia, B J Rensing, M A Schepens
Affiliations

Rupture of right coronary sinus of Valsalva aneurysm into right ventricle

M C Post et al. Neth Heart J. 2010 Apr.

Abstract

A sinus of Valsalva aneurysm is a rare cardiac anomaly that may be congenital or acquired; a coexisting cardiac lesion might be present. If the aneurysm ruptures, it causes acute symptoms of dyspnoea. Echocardiography and cardiac magnetic resonance imaging are useful for diagnosis. The treatment of choice is surgery. We present a case of a patient with acute onset of symptoms due to a ruptured sinus of Valsalva aneurysm. (Neth Heart J 2010;18:209-11.).

Keywords: Aortic Aneurysm; Aortic Rupture; Case Report; Echocardiography; Magnetic Resonance Imaging; Sinus of Valsalva.

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Figures

Figure 1
Figure 1
Transoesophageal echocardiography shows a ruptured aneurysm of the right coronary sinus with an obligate left-to-right shunt into the right ventricle, using colour Doppler technique (left). LV=left ventricle, LA=left atrium, RV=right ventricle, SVA=sinus of Valsalva aneurysm.
Figure 2
Figure 2
Cardiac magnetic resonance imaging shows a ruptured right coronary sinus of Valsalva into the right ventricle. Arrow shows the ruptured sinus of Valsalva. RVOT=right ventricular outflow tract, LV=left ventricle, LA=left atrium.
Figure 3
Figure 3
Surgeon’s view from the opened aorta into the aneurysm of the right coronary sinus of Valsalva. RCC=right coronary cusp, SVA=sinus of Valsalva aneurysm.
See this image and copyright information in PMC

References

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