Valsalva Aneurysm Filled with Thrombi Mimicking a Cardiac Tumor.
10.4070/kcj.2012.42.12.869
- Author:
Yasuharu LEE
1
;
Naoki MORI
;
Daisuke NAKAMURA
;
Takahiro YOSHIMURA
;
Masayuki TANIIKE
;
Nobuhiko MAKINO
;
Hiroyasu KATO
;
Yasuyuki EGAMI
;
Ryu SHUTTA
;
Jun TANOUCHI
;
Yoshio YAMADA
;
Masami NISHINO
Author Information
1. Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan. mnishino@orh.go.jp
- Publication Type:Case Report
- Keywords:
Sinus of Valsalva;
Cardiac tumor;
2D echocardiography;
Magnetic resonance imaging
- MeSH:
Aneurysm;
Atrial Septum;
Echocardiography;
Heart Neoplasms;
Humans;
Magnetic Resonance Imaging;
Sinus of Valsalva
- From:Korean Circulation Journal
2012;42(12):869-871
- CountryRepublic of Korea
- Language:English
-
Abstract:
A Valsalva aneurysm filled with thrombi can be difficult to diagnose, because it mimics a cardiac tumor. Both cardiac magnetic resonance imaging (MRI) and transesophageal echocardiogram (TEE) were performed on a patient who showed a low-echoic mass located between the atrial septum and the non-coronary sinus. Based on MRI findings allowing tissue characterization and the accurate location of the mass and the TEE findings of an irregular surface of the mass and a partial defect in the edge of the non-coronary sinus, we diagnosed the mass as a thrombosed Valsalva aneurysm that had perforated the inter-atrial septum. The operative findings coincided with the preoperative diagnosis. Both MRI and TEE are useful for diagnosing this condition.