A rare cause of systolic murmur: unruptured right sinus of Valsalva aneurysm with right ventricular outflow tract obstruction and supracristal ventricular septal defect.
Dyspnea and heart murmur are common reasons for referrals in cardiology and both are associated with a broad differential diagnosis. Sinus of Valsalva aneurysms are rare abnormalities of the aortic root that should be considered in the differential diagnosis in young and middle aged patients. Sinus of Valsalva aneurysms are often associated with supracristal ventricular septal defects and can be identified on transthoracic echocardiography. Diagnosis of a SVA should trigger a careful search for ventricular septal defect, which may necessitate transesophageal echocardiography.
Ionescu
Costin N
CN
Department of Internal Medicine, Section of Cardiology, Hospital of Saint Raphael, New Haven, Connecticut 06511, USA. cionescu@srhs.org
Khachane
Vasant
V
Earle
Mark
M
Marcu
C Bogdan
CB
Ghantous
Andre
A
Chrissoheris
Michael
M
D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging*; D054160:Systolic Murmurs / Q000209:etiology*