Unruptured aneurysm of the sinus of Valsalva presenting with right ventricular outflow obstruction.
Sinus of Valsalva aneurysms rarely present until rupture occurs. We describe the case of a patient who presented with acute right heart failure and upon investigation was found to have an unruptured sinus of Valsalva aneurysm causing right ventricular outflow obstruction; there was an associated subaortic ventricular septal defect. To the best of our knowledge, only 1 other case with these features has been reported in the medical literature. The diagnosis was made by transthoracic echocardiography and cardiac catheterization. Through an aortic and right ventricular approach, we successfully excised the aneurysmal right coronary sinus, closed the ventricular septal defect, and replaced the aortic valve.
Thankachen
Roy
R
Department of Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore 632 004, India.
Gnanamuthu
Roy
R
Doshi
Harikrishna
H
Shukla
Vinayak
V
Korula
Roy John
RJ
D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001021:Aortic Valve; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D012850:Sinus of Valsalva; D018497:Ventricular Dysfunction, Right / Q000150:complications; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000601:surgery