Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Unruptured Aneurysm of the Right Sinus of Valsalva with Right Ventricular Outflow Obstruction

  • Chung, Eun (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Baek, Ju Yeol (Department of Internal Medicine, Chengju St. Mary's Hospital) ;
  • Chung, Han Hee (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Park, Seong Il (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Jang, Ji Hye (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Yu, Hyun A (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Woo, Gi Hyeon (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Youn, Ho Joong (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • Received : 2013.09.16
  • Accepted : 2013.10.17
  • Published : 2014.04.30
⟨ Previous Next ⟩

Abstract

A 66-year-old man presented with exertional dyspnea. He was found to have an unruptured aneurysm of the right sinus of Valsalva causing significant right ventricular outflow obstruction. This aneurysm was diagnosed by transthoracic two-dimensional echocardiography, transthoracic three-dimensional echocardiography, transesophageal echocardiography, contrast echocardiography and 64-slice multidetector cardiac computed tomography. Because unruptured aneurysms of the sinus of Valsalva are rarely symptomatic, they can be difficult to detect. However, the unruptured aneurysm of the right sinus of Valsalva in this case caused significant right ventricular outflow tract obstruction, resulting in exertional dyspnea.

Keywords

References

  1. Yang Y, Zhou Y, Ma L, Ni Y. Unruptured aneurysm of the sinus of Valsalva presenting with thrombosis and right ventricular outflow obstruction. J Card Surg 2008;23:782-4. https://doi.org/10.1111/j.1540-8191.2008.00662.x
  2. Moustafa S, Mookadam F, Cooper L, et al. Sinus of Valsalva aneurysms--47 years of a single center experience and systematic overview of published reports. Am J Cardiol 2007;99:1159-64. https://doi.org/10.1016/j.amjcard.2006.11.047
  3. Feldman DN, Roman MJ. Aneurysms of the sinuses of Valsalva. Cardiology 2006;106:73-81. https://doi.org/10.1159/000092635
  4. Dev V, Goswami KC, Shrivastava S, Bahl VK, Saxena A. Echocardiographic diagnosis of aneurysm of the sinus of Valsalva. Am Heart J 1993;126:930-6. https://doi.org/10.1016/0002-8703(93)90709-I
  5. Thankachen R, Gnanamuthu R, Doshi H, Shukla V, Korula RJ. Unruptured aneurysm of the sinus of Valsalva presenting with right ventricular outflow obstruction. Tex Heart Inst J 2003;30:152-4.
  6. Kiefaber RW, Tabakin BS, Coffin LH, Gibson TC. Unruptured sinus of Valsalva aneurysm with right ventricular outflow obstruction diagnosed by two-dimensional and Doppler echocardiography. J Am Coll Cardiol 1986;7:438-42. https://doi.org/10.1016/S0735-1097(86)80519-8
  7. Terdjman M, Bourdarias JP, Farcot JC, et al. Aneurysms of sinus of Valsalva: two-dimensional echocardiographic diagnosis and recognition of rupture into the right heart cavities. J Am Coll Cardiol 1984;3:1227-35. https://doi.org/10.1016/S0735-1097(84)80181-3
  8. Ott DA. Aneurysm of the sinus of valsalva. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2006:165-76.