Extracardiac Aneurysm of the Sinus of Valsalva: A Case Report.
- Author:
Sung Hyun SHIN
1
;
Won Chae JANG
;
Kug Ju NHA
;
Byoung Hee AHN
;
Sang Hyoung KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Medical School, Chonnam National University, Korea.
- Publication Type:Case Report
- Keywords:
Sinus of valsalva;
Aneurysm;
Sinus valsalva
- MeSH:
Aneurysm*;
Aortic Valve Insufficiency;
Death, Sudden;
Diagnosis;
Heart Ventricles;
Incidence;
Myocardial Infarction;
Myocardial Ischemia;
Rupture;
Shock, Cardiogenic;
Sinus of Valsalva*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(3):304-307
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aneurysm of the sinus of Valsalva on mostly congenital disease that develops more frequently in Orientals, is very low in incidence. In most cases, aneurysm of the sinus of Valsalva extends to intracardiac and results in ruptures into the right ventricle or atrium. The likelihood of extracardiac aneurysm of the sinus of Valsalva is very low. Cases of extracardiac aneurysm are usually accompanied by aortic regurgitation and can cause right ventricle outflow tract obstruction, myocardial ischemia, and myocardial infarction due to compression by aneurysm. Since the aneurysm can rupture in the intrapericardium and cause cardiogenic shock or sudden death, definite diagnosis and management are important. If confirmed, it is preferable operform a surgical correction. We report here, with a literature review, a case where myocardial ischemia and aortic egurgitation caused by aneurysm developed in the left coronary and noncoronary sinus, and were surgically corrected with satisfactory esults.
