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A patient with aneurysms of both aortic coronary sinuses of Valsalva obstructing both ventricular outflow tracts

Published online by Cambridge University Press:  13 August 2009

Ishwarappa B. Vijayalakshmi*
Affiliation:
Children’s Heart Care Centre, Sri Jayadeva Institute of Cardiology, Bengaluru, Karnataka, India
Nijagal S. Devananda
Affiliation:
Children’s Heart Care Centre, Sri Jayadeva Institute of Cardiology, Bengaluru, Karnataka, India
Narasimhan Chitra
Affiliation:
Children’s Heart Care Centre, Sri Jayadeva Institute of Cardiology, Bengaluru, Karnataka, India
*
Correspondence to: Dr Ishwarappa Balekundri Vijayalakshmi, MD, DM (Card), FICC, FIAMS, FIAE, FICP, FCSI. Professor of Pediatric Cardiology, Children’s Heart Care Centre, Sri Jayadeva Institute of Cardiology, Res: ‘Aditi’ 44 A, V Main road, Vijayanagar II stage, Bengaluru -560040, Karnataka, India. Tel: 91-80-23302031, Mobile No: 094484940984; Fax: 91-80-22977236; E-mail: [email protected]

Abstract

Congenital unruptured aneurysms affecting both the right and left sinuses of Valsalva are extremely rare. To the best of our knowledge, there has been only one previously documented case. We report here a patient presenting with congestive cardiac failure who also had unruptured aneurysms of both the right and left sinuses of Valsalva. The aneurysms produced obstruction of the outflow tracts of both ventricles, burrowing as they did into the muscular ventricular septum.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2009

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References

1. Wells, T, Byrd, B, Neirste, D, Fleurelus, C. Sinus of Valsalva aneurysm with rupture into the interventricular septum and left ventricular cavity. Circulation 1999; 100: 18431844.CrossRefGoogle ScholarPubMed
2. Zannis, K, Tzvetkov, B, Deux, JF, Kirsch, EW. Unruptured congenital aneurysms of the right and left sinuses of Valsalva. Eur Heart J 2007; 28: 1565.Google Scholar
3. Pepper, C, Munsch, C, Sivananthan, UM, Pye, M. Unruptured aneurysm of the left sinus of Valsalva extending into the left ventricular outflow tract: presentation and imaging. Heart 1998; 80: 190193.Google Scholar
4. Edwards, JE, Burchell, HB. The pathologic anatomy of deficiencies between the aortic root and the heart including aortic sinus aneurysms. Thorax 1957; 12: 125139.Google Scholar
5. Dev, V, Goswami, KC, Shrivastava, S, Bahl, VK, Saxena, A. Echocardiographic diagnosis of aneurysm of the sinus of Valsalva. Am Heart J 1993; 126: 930936.CrossRefGoogle ScholarPubMed
6. Ahmad, RA, Sturman, S, Watson, RD. Unruptured aneurysm of the sinus of Valsalva with isolated heart block: Echocardiographic diagnosis and successful surgical repair. Br Heart J 1989; 61: 375377.Google Scholar
7. Dev, V, Shrivastava, S. Echocardiographic diagnosis of unruptured aneurysm of the sinus of Valsalva dissecting into the ventricular septum. Am J Cardiol 1990; 66: 502503.Google Scholar
8. Mok, CK, Cheung, KL, Wang, RY. Unruptured right coronary sinus to left ventricle aneurysm diagnosed by cross sectional echocardiography. Br Heart J 1985; 53: 226229.CrossRefGoogle ScholarPubMed
9. Heydorn, WH, Nelson, WP, Fitterer, JD, Floyd, GD, Strevey, TE. Congenital aneurysm of the sinus of Valsalva protruding into the left ventricle. Review of diagnosis and treatment of the unruptured aneurysm. J Thorac Cardiovasc Surg 1976; 71: 839845.CrossRefGoogle ScholarPubMed
10. Vural, KM, Sener, E, Tasdemir, O, Bayazit, K. Approach to sinus of Valsalva aneurysms: a review of 53 cases. Eur J Cardiothorac Surgery 2001; 20: 7176.Google Scholar