title: Contained Rupture of Sinus of Valsalva Aneurysm in a 64-Year-Old Man.
abstract: We report a contained rupture of a right coronary sinus of Valsalva aneurysm, in which repair resulted in symptomatic improvement. Patients often present with symptoms secondary to rupture of the sinus of Valsalva aneurysm into one of the cardiac chambers, or secondary to the compression of adjacent structures. Whereas sinus of Valsalva aneurysms and their rupture are well reported in the literature, contained ruptures have been described only rarely. In those cases, symptoms often arose from compression of adjacent structures. Although transesophageal echocardiography is considered to be the diagnostic method of choice, cardiac magnetic resonance imaging and computed tomography can be equally helpful in establishing the diagnosis and delineating the lesion. Diagnosis and prompt repair in our 64-year-old patient resulted in the rapid resolution of his symptoms.
authors: Anjali
authors: A
authors: Garg
authors: Nivas
authors: N
authors: Balasubramaniyam
authors: Rocco
authors: R
authors: Lafaro
authors: Robert
authors: R
authors: Timmermans
authors: Wilbert S
authors: WS
authors: Aronow
authors: Howard A
authors: HA
authors: Cooper
authors: Julio A
authors: JA
authors: Panza
mesh_terms: D000818:Animals; D001019:Aortic Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002417:Cattle; D054326:Coronary Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D064593:Heterografts; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery
keywords: Aortic aneurysm/pathology; aortic valve insufficiency; cardiac magnetic resonance imaging; echocardiography, transesophageal; sinus of Valsalva aneurysm/contained rupture