A Giant Ruptured Noncoronary Sinus of Valsalva Aneurysm: A Case Report
DOI:
https://doi.org/10.1532/hsf.3519Keywords:
sinus of Valsalva aneurysm, rupture, noncoronary sinusAbstract
The occurrence of a giant ruptured aneurysm originating from the noncoronary sinus of Valsalva in the right atrium is extremely rare. Herein, a case is presented of a giant ruptured noncoronary sinus of Valsalva aneurysm (SVA) that was protruding into the right atrium, which was almost completely occupied by an aneurysm. A 61-year-old female was referred to the hospital for exertional palpitation and dyspnea. While a surgical repair was performed by resection of the aneurysm and a sinus remodeling with a patch of fresh bovine pericardium, a very rare case was observed. It was a giant ruptured noncoronary sinus of aneurysm that completely occupied the right atrium, which was difficult to distinguish from the coronary aneurysm. It is also believed that various imaging examinations, such as cardiac computed tomography angiogram (CCTA) and transthoracic echocardiogram (TTE), were useful for the diagnosis.
References
Au WK, Chiu SW, Mok CK, Lee WT, Cheung D, He GW. 1998. Repair of ruptured sinus of Valsalva aneurysm: determinants of long-term survival. The Annals of thoracic surgery. 66(5):1604-1610.
Feldman DN, Roman MJ. 2006. Aneurysms of the sinuses of Valsalva. Cardiology. 106(2):73-81.
Hamid IA, Jothi M, Rajan S, Monro JL, Cherian KM. 1994. Transaortic repair of ruptured aneurysm of sinus of Valsalva. Fifteen-year experience. The Journal of thoracic and cardiovascular surgery. 107(6):1464-1468.
Weinreich M, Yu PJ, Trost B. 2015. Sinus of Valsalva aneurysms: review of the literature and an update on management. Clinical cardiology. 38(3):185-189.
Yan F, Abudureheman M, Huo Q, Shabiti A, Zhu T, Liu Z. 2014. Surgery for sinus of Valsalva aneurysm: 33-year of a single center experience. Chinese medical journal. 127(23):4066-4070.
