[A 78-year-old man with unruptured aneurysm of Valsalva found accidentally by syncope during straining].
A 78-year-old man who suffered from syncope and light-headedness during straining. The patient visited to our department for evaluation of his symptom. Cardiac auscultation revealed a grade II/IV systolic murmur along the left parasternal border. Electrocardiography showed T wave inversion at the right precordial leads. Echocardiography demonstrated an unruptured aneurysm originating at the sinus of Valsalva protruding into the right ventricular outflow tract. Cardiac cathtererization demonstrated a pressure gradient of 34 mmHg between the right ventricular cavity and pulmonary artery with a large aneurysm originating from the right coronary cusp. Because of his low activity of daily living owing to old cerebral infarction, we managed the patient conservatively.
Horiguchi
Megumi
M
Division of Cardiology, Uwajima City Hospital.
Ikeda
Shuntaro
S
Yamane
Kenichi
K
Izumi
Naoki
N
Ohshima
Kosei
K
Ishibashi
Ken
K
Ohshima
Kiyotaka
K
Hamada
Mareomi
M
D000368:Aged; D001014:Aortic Aneurysm / Q000175:diagnosis*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D012850:Sinus of Valsalva; D013575:Syncope / Q000150:complications*