A Giant Aneurysm of the Sinus of Valsalva with Calcification.
10.4070/kcj.2001.31.1.114
- Author:
Jay Young RHEW
;
Myung Ho JEONG
;
Kyung Tae KANG
;
Sang Hyun LEE
;
Jong Cheol PARK
;
Young Keun AHN
;
Yun Hyeon KIM
;
Jeong Gwan CHO
;
Byoung Hee AHN
;
Sang Hyung KIM
;
Jong Chun PARK
;
Jung Chaee KANG
- Publication Type:Case Report
- MeSH:
Aneurysm*;
Blood Pressure;
Cardiac Catheterization;
Cardiac Catheters;
Cardiomegaly;
Coronary Sinus;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Pericardial Effusion;
Pericardiocentesis;
Rupture;
Sinus of Valsalva*;
Thorax;
Tomography, X-Ray Computed;
Ventricular Outflow Obstruction
- From:Korean Circulation Journal
2001;31(1):114-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aneurysms of sinus of Valsalva often remain undiagnosed until they rupture. A huge, heavily calcified unruptured aneurysm originating from the right sinus of Valsalva was detected incidentally in a 61-year-old man. Chest X-ray showed cardiomegaly and 10 cm sized huge calcified mass lesion around the cardiac shadow. Two-dimensional echocardiogrm revealed pericardial effusion with huge calcified mass compressing right ventricular outflow and color-flow Doppler echocardiogram visualized blood flow from aortic root into aneurysm. Chest CT scan and MRI revealed a large thrombosed aneurysm arising from aortic root measuring 1010cm. After pericardiocentesis cardiac catheterization was performed, which showed elevated right ventricular systolic pressure up to 80 mmHg. Aortic root angiogram revealed huge unruptured calcified aneurysm in the sinus of Valsalva arising from the right coronary sinus. The patient underwent surgical correction for the prevention of aneurysmal rupture and the relief of right ventricular outflow obstruction.
