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Open Access 01-12-2018 | Case report

A case report of pseudoaneurysm of left sinus of Valsalva invaded into the left ventricle with severe aortic regurgitation

Authors: Hyun Oh Park, Joung Hun Byun, Seong Ho Moon, Jong Woo Kim, Sung Hwan Kim, Ki Nyun Kim, Jae Jun Jung, Dong Hoon Kang, Jun Young Choi, Jun Ho Yang, In Seok Jang, Chung Eun Lee

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

Abstract

Background

The pseudoaneurysms of sinus of Valsalva is an uncommon and serious complication of an infection, trauma, or after cardiac surgery or procedure. Pseudoaneurysms of sinus of Valsalva from left is rare. We describe a case of pseudoaneurysm of the left coronary sinus of Valsalva invaded into the left ventricle (LV) diagnosed by transthoracic echocardiography (TTE), transesophageal ecoccardiography (TEE), and multiple detector computed tomography (MDCT).

Case presentation

A 44-year-old male patient had New York Heart Association (NYHA) class II / III dyspnea during 4 months. He underwent surgery including aortic valve replacement using mechanical prosthesis, and he was discharged well without significant complications on follow – up TTE and chest computed tomography (CT) post-operative 7 days.

Conclusions

We report this rare case in which a ruptured pseudoaneurysm of sinus of Valsalva into LV with severe AR due to perforation of LCC was successfully-treated.

Hilal T. Chronic rupture of the coronary sinus of valsalva with pseudoaneurysm formation. Oxf Med Case Reports. 2014;(7):120–1. https://doi.org/10.1093/omcr/omu047.

Lee CC, Siegel RJ. Sinus of Valsalva pseudoaneurysm as a sequela to infective endocarditis. Tex Heart Inst J. 2016;43(1):46–8.CrossRefPubMedPubMedCentral

Kumar V, Jose J, Joseph G. Rupture of sinus of Valsalva aneurysm into the left ventricle after dissecting through the interventricular septum mimicking aortic regurgitation. Clin Res Cardiol. 2016;105:560–2.CrossRefPubMed

Kanemitsu S, Tanabe S, Ohue K, Miyagawa H, Miyake Y, Okabe M. Aortic valve destruction and pseudianeurysm of the sinus Valsalva associated with infective endocarditis. Ann Thorac Cardiovasc Surg. 2010;16(2):142–4.PubMed

Chu SH, Hung CR, How SS, Chang H, Wang SS, Ch T, et al. Ruptured aneurysms of the sinus of Valsalva in oriental patients. J Thorac Cardiovasc Surg. 1990;99(2):288–98.PubMed

Bricker AO, Avutu B, Mohammed TLH, Williamson EE, Syed IS, Julsrud PR, Schoenhagen PS, Kirsch J. Valsalva sinus aneurysm: finding a CT and MR imaging. Radio Graphics. 2010;30 https://doi.org/10.1148/rg.301095719.

Title: A case report of pseudoaneurysm of left sinus of Valsalva invaded into the left ventricle with severe aortic regurgitation
Authors: Hyun Oh Park
Joung Hun Byun
Seong Ho Moon
Jong Woo Kim
Sung Hwan Kim
Ki Nyun Kim
Jae Jun Jung
Dong Hoon Kang
Jun Young Choi
Jun Ho Yang
In Seok Jang
Chung Eun Lee
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-018-0754-1

At a glance: The STEP trials

Springer Medicine

A case report of pseudoaneurysm of left sinus of Valsalva invaded into the left ventricle with severe aortic regurgitation

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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