title: Unruptured aneurysm of the sinus of Valsalva presenting with right ventricular outflow obstruction.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore 632 004, India.
authors.forename: Roy
authors.initials: R
authors.lastname: Thankachen
authors.forename: Roy
authors.initials: R
authors.lastname: Gnanamuthu
authors.forename: Harikrishna
authors.initials: H
authors.lastname: Doshi
authors.forename: Vinayak
authors.initials: V
authors.lastname: Shukla
authors.forename: Roy John
authors.initials: RJ
authors.lastname: Korula
mesh_terms: 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