An unusual cause of pulmonary edema: acute rupture of noncoronary sinus of valsalva aneurysm into the left atrium.
We present the case of a patient admitted to hospital with pulmonary edema and atrial fibrillation. The transthoracic echocardiogram showed noncoronary sinus of Valsalva aneurysm ruptured into the left atrium, with a turbulent flow directed toward the left atrium floor and the pulmonary vein, which explained the clinical presentation. Echocardiography played a crucial role in identification of the cause and correct therapeutic approach.
Moreo
Antonella
A
Cardiology and Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy. amoreo@tin.it
De Chiara
Benedetta
B
Bruschi
Giuseppe
G
Tarelli
Giuseppe
G
Parolini
Marina
M
Mauri
Francesco
F
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000209:etiology*; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging*