Huge calcified aneurysm of the sinus of valsalva

Citation
Jy. Rhew et al., Huge calcified aneurysm of the sinus of valsalva, JPN CIRC J, 65(3), 2001, pp. 239-241
Citations number
18
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Journal title
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION
ISSN journal
00471828 → ACNP
Volume
65
Issue
3
Year of publication
2001
Pages
239 - 241
Database
ISI
SICI code
0047-1828(200103)65:3<239:HCAOTS>2.0.ZU;2-3
Abstract
Aneurysms of the sinus of Valsalva often remain undiagnosed until they rupt ure. A 61-year-old man had a huge, heavily calcified unruptured aneurysm, o riginating from the right sinus of Valsalva, detected incidentally on a che st radiograph taken for the diagnosis of cardiomegaly. Two-dimensional echo cardiography revealed pericardial effusion with a huge calcified mass compr essing the right ventricular outflow tract. The Doppler color-how echocardi ogram showed blood flow from the aortic root into the aneurysm. A chest com puted tomographic scan revealed a large thrombosed aneurysm originating fro m the aortic root and measuring 10x10 cm. After pericardiocentesis, cardiac catheterization was performed, which showed that the right ventricular sys tolic pressure had elevated to 80 mmHg. Aortic root aortography demonstrate d a huge unruptured calcified aneurysm in the sinus of Valsalva arising fro m the right coronary sinus. The patient underwent surgical correction to pr event aneurysmal rupture and to relieve the right ventricular outflow obstr uction.