Left coronary sinus of valsalva aneurysm dissecting into interventricular septum: a case report

J Cardiothorac Surg. 2024 Feb 4;19(1):53. doi: 10.1186/s13019-024-02513-4.

Abstract

Background: Sinus of Valsalva aneurysm (SVA) is an extremely rare condition, and its rupture causes acute symptoms such as chest pain and dyspnea. Ruptured SVA is frequently associated with other congenital defects.

Case presentation: A 37-year-old male presented with SVA originating from the left coronary sinus that ruptured into the interventricular septum. SVA was diagnosed by echocardiography, cardiac computed tomography and magnetic resonance imaging, and confirmed during the operation.

Conclusions: SVA is a rare cardiac abnormality which can lead to severe clinical symptoms upon rupture. Immediate surgery is necessary to repair the ruptured SVA.

Keywords: Aneurysm; Coronary sinus; Interventricular septum; Valsalva.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm* / complications
  • Aortic Aneurysm* / diagnostic imaging
  • Aortic Aneurysm* / surgery
  • Aortic Diseases* / complications
  • Aortic Dissection*
  • Aortic Rupture* / diagnosis
  • Aortic Rupture* / diagnostic imaging
  • Coronary Sinus*
  • Humans
  • Male
  • Sinus of Valsalva* / diagnostic imaging
  • Sinus of Valsalva* / pathology
  • Sinus of Valsalva* / surgery
  • Ventricular Septum* / diagnostic imaging
  • Ventricular Septum* / surgery