title: [An autopsy case of the sinus of Valsalva aneurysm involved with tuberculous inflammation, leading to complete heart block].
abstract: A case is presented of unruptured aneurysm of the non coronary sinus of Valsalva, causing involvement of A-V node and right coronary artery compression. The patient was a 68 year-old woman with a complaint of general fatigue. Electrocardiogram showed complete A-V block. Computed tomography showed an aneurysm of the non coronary sinus of Valsalva. A temporary pacemaker was implanted, but the patient developed respiratory failure and heart failure and died. At autopsy, macroscopically disseminated tuberculosis was noted in both lungs and kidneys. Microscopically a tuberculous inflammatory lesion extending into the A-V node was found. We report this rare case with some consideration of the literature.
authors.affiliation: Department of Cardiology, Matsuyama Red Cross Hospital.
authors.forename: Y
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: T
authors.initials: T
authors.lastname: Kubo
authors.forename: H
authors.initials: H
authors.lastname: Tagawa
authors.forename: H
authors.initials: H
authors.lastname: Ando
authors.forename: S
authors.initials: S
authors.lastname: Higuchi
authors.forename: I
authors.initials: I
authors.lastname: Ogata
authors.forename: T
authors.initials: T
authors.lastname: Ashihara
authors.forename: T
authors.initials: T
authors.lastname: Fukuyama
authors.forename: H
authors.initials: H
authors.lastname: Daimaru
authors.forename: K
authors.initials: K
authors.lastname: Kume
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D001344:Autopsy; D005260:Female; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D012850:Sinus of Valsalva; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000473:pathology