1.Valsalva Aneurysm Filled with Thrombi Mimicking a Cardiac Tumor.
Yasuharu LEE ; Naoki MORI ; Daisuke NAKAMURA ; Takahiro YOSHIMURA ; Masayuki TANIIKE ; Nobuhiko MAKINO ; Hiroyasu KATO ; Yasuyuki EGAMI ; Ryu SHUTTA ; Jun TANOUCHI ; Yoshio YAMADA ; Masami NISHINO
Korean Circulation Journal 2012;42(12):869-871
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.
Aneurysm
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Atrial Septum
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Echocardiography
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Heart Neoplasms
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Humans
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Magnetic Resonance Imaging
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Sinus of Valsalva