scholarly journals A Giant Ruptured Noncoronary Sinus of Valsalva Aneurysm: A Case Report

2021 ◽  
Vol 24 (1) ◽  
pp. E188-E190
Author(s):  
Xueshan Zhao ◽  
Lijie Jiang ◽  
Honghua Yue ◽  
Zhong Wu

The occurrence of a giant ruptured aneurysm originating from the noncoronary sinus of Valsalva in the right atrium is extremely rare. Herein, a case is presented of a giant ruptured noncoronary sinus of Valsalva aneurysm (SVA) that was protruding into the right atrium, which was almost completely occupied by an aneurysm. A 61-year-old female was referred to the hospital for exertional palpitation and dyspnea. While a surgical repair was performed by resection of the aneurysm and a sinus remodeling with a patch of fresh bovine pericardium, a very rare case was observed. It was a giant ruptured noncoronary sinus of aneurysm that completely occupied the right atrium, which was difficult to distinguish from the coronary aneurysm. It is also believed that various imaging examinations, such as cardiac computed tomography angiogram (CCTA) and transthoracic echocardiogram (TTE), were useful for the diagnosis.

2018 ◽  
pp. bcr-2018-226197
Author(s):  
Masaki Kodaira ◽  
Takahito Itoh ◽  
Kiyoshi Koizumi ◽  
Yohei Numasawa

Patients with a coronary aneurysm alone do not generally exhibit continuous murmurs; however, murmurs may be detected in the presence of a fistula. A 57-year-old woman with chest pain was referred to us with a suspected diagnosis of a ruptured sinus of Valsalva aneurysm owing to the presence of a continuous murmur that was detected on physical examination. However, CT revealed a giant right coronary artery aneurysm draining into the right atrium. Consequently, surgery was performed. This case highlights the importance of implementing multiple imaging modalities for adequate differential diagnoses of patients presenting with continuous murmurs.


Author(s):  
Zafar Ali ◽  
Talal Asif ◽  
Justin Sheehy ◽  
Dany Jacob ◽  
Paramdeep S Baweja

A ruptured sinus of Valsalva aneurysm as a cause of aorto–atrial fistula is very rare. We present the case of a 53-year-old female who presented with symptoms of acute heart failure and suspicion of an aorto–atrial fistula found on a transthoracic echocardiogram, which was confirmed on transesophageal echocardiography. A coronary angiogram showed normal coronary arteries but confirmed the right aorto–atrial fistula on aortogram. She underwent successful surgical repair of the fistula. Her postoperative echocardiogram showed a normal right atrium and right ventricle with no shunt. A ruptured sinus of Valsalva aneurysm is a devastating event and presents as acute heart failure. Prompt diagnosis and surgical repair is necessary to prevent mortality.


2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Christina S. Chen-Milhone ◽  
Kalyan Chakravarthy Potu ◽  
Sudhir Mungee

Aspergillus can cause devastating opportunistic infections in immunocompromised patients. Rarely does this fungus invade the heart, and when it does, survival is especially poor despite optimal medical and surgical treatment. We report a case of cardiac aspergilloma with involvement of the tricuspid valve and both the right atrium and ventricle found on a transthoracic echocardiogram in an immunocompromised patient after developing atrial fibrillation with rapid ventricular rate. The findings from this case suggest that early clinical suspicion is critical in early diagnosis and thus early treatment.


2009 ◽  
Vol 26 (8) ◽  
pp. 977-979 ◽  
Author(s):  
Suneil Kumar Aggarwal ◽  
Anand Lingan ◽  
Kiran Kumar Reddy ◽  
Mallindra Swamy ◽  
V. Ramnath Iyer ◽  
...  

2016 ◽  
Vol 43 (2) ◽  
pp. 161-164 ◽  
Author(s):  
Carlos Omar Encarnacion ◽  
Austin Mitchell Loranger ◽  
A.G. Bharatkumar ◽  
G. Hossein Almassi

Lactobacillus acidophilus rarely causes bacterial endocarditis, because it usually resides in the mucosa of the vagina, gastrointestinal tract, and oropharynx. Moreover, sinus of Valsalva aneurysms are rare cardiac anomalies, either acquired or congenital. We present the case of a middle-aged man whose bacterial endocarditis, caused by Lactobacillus acidophilus, led to an aneurysmal rupture of the sinus of Valsalva into the right ventricular outflow tract. The patient underwent successful surgical repair, despite numerous complications and sequelae.


2016 ◽  
Vol 43 (4) ◽  
pp. 357-359 ◽  
Author(s):  
Walid K. Abu Saleh ◽  
Chun Huie Lin ◽  
Michael J. Reardon ◽  
Basel Ramlawi

Isolated sinus of Valsalva aneurysm is a rare occurrence, with an incidence of <1.5% among congenital heart disease repairs in the world. We recount the case of a 64-year-old man who presented with right-sided heart failure symptoms caused by a severely dilated right coronary sinus of Valsalva aneurysm that substantially obstructed the right ventricular outflow tract. Successful surgical repair involved right ventricular outflow tract resection and subcoronary patch repair.


2015 ◽  
Vol 44 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Takaaki Samura ◽  
Yasushi Tsutsumi ◽  
Osamu Monta ◽  
Satoshi Numata ◽  
Sachiko Yamazaki ◽  
...  

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