UNRUPTURED CONGENITAL ANEURYSM OF THE RIGHT SINUS OF VALSALVA - DISSECTING INTO THE INTERVENTRICULAR SEPTUM

We report the case of a congenital aneurysm of the right sinus of Vals alva dissecting into the interventricular septum in a 21-year-old man. This condition was diagnosed by echocardiography and magnetic resonan ce imaging. In particular, transthoracic and transesophageal color-cod ed Doppler echocardiography showed that there was no communication bet ween the aneurysm and the surrounding heart chambers. The findings wer e confirmed by angiography. Heart enlargement and other symptoms and s igns of heart failure indicated surgical repair of the lesion. Early p ostoperative dehiscence of the sutured orifice was accurately diagnose d with Doppler echocardiography and angiography Reintervention was suc cessful in filling and sealing the septal cavity. This case confirms t he reported difficulties in the surgical correction of aneurysms of si nus of Valsalva lying within the interventricular septum.