[An autopsy case of the sinus of Valsalva aneurysm involved with tuberculous inflammation, leading to complete heart block].
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.
Matsumoto
Y
Y
Department of Cardiology, Matsuyama Red Cross Hospital.
Kubo
T
T
Tagawa
H
H
Ando
H
H
Higuchi
S
S
Ogata
I
I
Ashihara
T
T
Fukuyama
T
T
Daimaru
H
H
Kume
K
K
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