Severe right ventricular outflow obstruction by right sinus of valsalva aneurysm.
Aneurysms of the sinus of Valsalva are rarely diagnosed cardiac anomalies, occurring in 0.14%-0.96% of patients who have undergone open heart surgical procedures. The most common congenital anomalies accompanying sinus of Valsalva aneurysm (SVA) are ventricular septal defect, bicuspid aortic valve, atrial septal defect, and coarctation of aorta. We report a patient with an unruptured right SVA presenting with severe right ventricular outflow tract (RVOT) obstruction, and coexisting patent foramen ovale (PFO) with a right to left shunt. It could be assumed that the increase in right atrial pressure due to RVOT obstruction had led to a right to left shunt across the patent foramen ovale.
Avci
Anil
A
Department of Cardiology, Kartal Kosuyolu Cardiovascular Research and Training Hospital, Istanbul, Turkey.
Akcakoyun
Mustafa
M
Alizada
Elnur
E
Esen
Ozlem
O
Pala
Selcuk
S
Eren
Ercan
E
Esen
Ali Metin
AM
D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004452:Echocardiography; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000503:physiopathology*