Submitted: 23 Jul 2015
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J Cardiovasc Thorac Res. 2015;7(3): 126-128.
doi: 10.15171/jcvtr.2015.27
PMID: 26430502
PMCID: PMC4586600
  Abstract View: 950
  PDF Download: 597

Case Report

Right Valsalva Sinus Aneurysm Protruding Into the Right Ventricle: A Case Report

Ata H. Afshar 1, Sergei Kolesnikov 1, Leili Pourafkari 1,2, Nader D. Nader 1 *

1 Department of Anesthesiology, State University of New York at Buffalo, Buffalo, NY, USA
2 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran


A separation between the aortic media and annulus fibrosus causes a rare cardiac abnormality called sinus of Valsalva aneurysm (SVA) that may be congenital or acquired. It is more prevalent in the right coronary sinus (65%-85%) but it has been seen rarely in non-coronary (10%-30%)or Left coronary sinus (<5%). The most common complication is rupture of the Aneurysm. We present an 80-year-old male with expanding right Valsalva sinus aneurysm and protruding into right ventricle. The conventional treatment is surgical repair under cardio-pulmonary bypass or percutaneous catheter closure. The aneurysm was successfully excised surgically under direct guidance of trans-esophageal echocardiography (TEE).
Keywords: Aortic Aneurysm, Sinus of Valsalva, Rupture of Aortic Aneurysm
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