Japanese Journal of Cardiovascular Surgery  2016;45(6):295-298

doi:10.4326/jjcvs.45.295

A Ruptured Sinus of Valsalva Aneurysm Caused by Low-Energy Trauma

Hiroki Ikeuchi ; Yoshinori Enomoto ; Shinichiro Abe ; Yoshio Sudo

Keywords

sinus of Valsalva aneurysm; trauma

Country

Japan

Language

Japanese

Abstract

We encountered a case of ruptured sinus of Valsalva aneurysm caused by an unusual event. A 38-year-old-man was referred to our hospital owing to cough and orthopnea after being struck in the chest while playing baseball. Echocardiography showed a ruptured right sinus of Valsalva aneurysm and ventricular septal defect (VSD). Intraoperative findings revealed rupture of the sinus of Valsalva aneurysm into the right ventricle, with a typical “windsock” appearance. The fistula and VSD were closed with Dacron patches at both the right coronary cusp and right ventricular outflow tract. The patient was discharged on the 11th postoperative day without any complications.