VARIETY OF CLINICAL SYMPTOMS AND DIFFEREN T MANIFESTATIONS OF NONRUPTURED ANEURYSMS OF THE SINUS OF VALSALVA - 3 EXEMPLARY CASES

Sinus Valsalva aneurysms belong to the less common congenital or acqui red structural cardiac anomalies. However, in patients with known card iac anomalies and uncertain or uncharacteristic cardiac symptoms the e xistence of a sinus Valsalva aneurysm must be taken into consideration . A sinus Valsalva aneurysm can be clinically silent as in the case of the 56-year-old patient with an accompanying bacterial endocarditis. An increasing aortic regurgitation after dilatation of a coarctation o f the aorta can also proceed with an ectasy of the ascending aorta and an aneurysm of the sinus Valsalva (case 2). Furthermore, a rapid dila tation of a non-ruptured sinus Valsalva aneurysm can cause a severe co mpression of coronary arteries with subsequent myocardial infarction, as in the 27-year-old patient with congenital aortic stenosis and acut e endocarditis in case 3.