Korean J Thorac Cardiovasc Surg.  1998 Mar;31(3):304-307.

Extracardiac Aneurysm of the Sinus of Valsalva: A Case Report

• Shin SH
• Jang WC
• Nha KJ
• Ahn BH
• Kim SH

Abstract

Aneurysm of the sinus of Valsalva on mostly congenital disease that develops more frequently in Orientals, is very low in incidence. In most cases, aneurysm of the sinus of Valsalva extends to intracardiac and results in ruptures into the right ventricle or atrium. The likelihood of extracardiac aneurysm of the sinus of Valsalva is very low. Cases of extracardiac aneurysm are usually accompanied by aortic regurgitation and can cause right ventricle outflow tract obstruction, myocardial ischemia, and myocardial infarction due to compression by aneurysm. Since the aneurysm can rupture in the intrapericardium and cause cardiogenic shock or sudden death, definite diagnosis and management are important. If confirmed, it is preferable operform a surgical correction. We report here, with a literature review, a case where myocardial ischemia and aortic egurgitation caused by aneurysm developed in the left coronary and noncoronary sinus, and were surgically corrected with satisfactory esults.

Keyword

Sinus of valsalva; Aneurysm; Sinus valsalva

MeSH Terms

Aneurysm*
Aortic Valve Insufficiency
Death, Sudden
Diagnosis
Heart Ventricles
Incidence
Myocardial Infarction
Myocardial Ischemia
Rupture
Shock, Cardiogenic
Sinus of Valsalva*