title: Gigantic unruptured sinus of Valsalva aneurysm presenting as an incidental murmur.
abstract: We report a case of a 56-year-old man referred by his family physician with an asymptomatic cardiac murmur. Trans-thoracic echocardiography (TTE) suggested an unruptured right sinus of Valsalva aneurysm (SVA) causing extrinsic compression of the right ventricular outflow tract. This was confirmed with an ECG-gated cardiac CT showing a large right SVA measuring 35×37×42 mm in size. Coronary angiography demonstrated non-obstructive coronary artery disease. Ascending thoracic anterior in the right anterior oblique view delineated the right SVA. The patient underwent aortic valve sparing surgical repair of the aneurysm with an excellent result. Echocardiography confirmed obliteration of the aneurysm and normal aortic valve function postoperatively.
authors.affiliation: Department of Cardiology, Mallow General Hospital, Mallow, Cork, Ireland. drhatimyagoub@yahoo.com
authors.forename: Hatim
authors.initials: H
authors.lastname: Yagoub
authors.forename: Bhanu Prakash
authors.initials: BP
authors.lastname: Srinivas
authors.forename: James
authors.initials: J
authors.lastname: McCarthy
authors.forename: Thomas John
authors.initials: TJ
authors.lastname: Kiernan
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D001021:Aortic Valve; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006337:Heart Murmurs / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012850:Sinus of Valsalva / Q000473:pathology* / Q000601:surgery; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000601:surgery