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Published on: November 4, 2015
Unruptured aneurysm of the sinus of Valsalva presenting with right ventricular outflow obstruction
Roy Thankachen1, Roy Gnanamuthu, Harikrishna Doshi
1Department of Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore 632 004, India.
Abstract:
Sinus of Valsalva aneurysms rarely present until rupture occurs. We describe the case of a patient who presented with acute right heart failure and upon investigation was found to have an unruptured sinus of Valsalva aneurysm causing right ventricular outflow obstruction; there was an associated subaortic ventricular septal defect. To the best of our knowledge, only 1 other case with these features has been reported in the medical literature. The diagnosis was made by transthoracic echocardiography and cardiac catheterization. Through an aortic and right ventricular approach, we successfully excised the aneurysmal right coronary sinus, closed the ventricular septal defect, and replaced the aortic valve.
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