scholarly journals Case Report: A Giant Left-Ventricular Intramural Pseudoaneurysm Arise From Ruptured Left Sinus of Valsalva Aneurysm

2021 ◽  
Vol 8 ◽  
Author(s):  
Minghui Hua ◽  
Yufan Gao ◽  
Jianhui Li ◽  
Fang Tong ◽  
Ximing Li ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Ventricular Myocardium ◽  
Left Ventricular ◽  
Patch Repair ◽  
Left Ventricular Myocardium ◽  
Sinus Of Valsalva Aneurysm ◽  
Sinus Valsalva Aneurysm ◽  
Left Sinus Of Valsalva

In this report, we present a case study of an extremely rare left sinus Valsalva aneurysm (SVA) rupture into the left-ventricular myocardium. Acute ozone inhalation and long-term hypertension are possible contributors to the condition. Utilizing multimodal cardiovascular imaging techniques [echocardiogram, computed tomography (CT), and cardiac magnetic resonance (CMR)], a large, left-ventricular, intramural pseudoaneurysm (IPA) arising from the ruptured left SVA, was clearly observed anatomically and functionally. Subsequently, our patient underwent patch repair and valvoplasty which offered an excellent prognosis. This report describes the manifestation of the ruptured left SVA and its possible etiology. This case also emphasizes the need for multimodal imaging for subsequent surgical repair.

scholarly journals An unusual case of cardiac syncope and acute coronary syndrome – a case report

2014 ◽  
Vol 60 (6) ◽  
pp. 285-287
Author(s):  
Monica Chitu ◽  
Theodora Benedek ◽  
S. Condrea ◽  
C. Blendea ◽  
I. Benedek
Keyword(s):  
Acute Coronary Syndrome ◽  
Structural Damage ◽  
Imaging Techniques ◽  
Ventricular Myocardium ◽  
Left Ventricular ◽  
Diabetic Woman ◽  
Left Ventricular Myocardium ◽  
Coronary Syndrome ◽  
Cardiac Syncope

Abstract Introduction: We aimed to present a case of acute coronary syndrome with unexpected etiology complicated by syncope and arrhythmias, confirmed by imagistic examinations as cardiac parasitosis. Cardiac parasitic diseases are rare diseases, whose diagnosis and therapy should be adapted to each case. Imaging techniques allow precise diagnosis of cardiac echinococcosis, providing essential structural details on the damage degree of heart structures, allowing optimization of complex treatment in these cases. Case presentation: A 67-year old, obese and diabetic woman presented with cardiac syncope, arrhythmias and acute chest pain. Imagistic examinations excluded intracoronary thrombosis and confirmed a severe structural damage of myocardial tissue, consisting in replacement of the myocardial structure by many cysts caused by parasitic infestation with echinococcus multilocularis and echinoccocus granulosus originating from the liver. CT scan confirmed severe distruction of the left ventricular myocardium by policysts, that led to thinning of inferior and apical left ventricle wall without any possibility of surgical excision. Therefore a specific chemotherapy with albendazole was initiated. Follow up at 2 months indicated a favorable evolution, with serological decrease of echinococcal antibodies and reduction of cysts volume. Conclusion: In cases of angina and arrhythmias with non-atherosclerotic etiology, imaging techniques can diagnose the anatomopathological substrate of the disease and represent a valuable tool for the follow up.

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