Contained Rupture of a Left Coronary Sinus of Valsalva Aneurysm: A Case Report

Division

North Florida

Hospital

North Florida Regional Medical Center

Document Type

Case Report

Publication Date

12-28-2022

Keywords

aortic neurysm, aortic rupture, echocardiography, Computed Tomography Angiography (CTA), sinus of valsalva, contained, case report

Disciplines

Cardiovascular Diseases | Internal Medicine

Abstract

Sinus of Valsalva aneurysm (SOVA) is an anomalous aortic root enlargement that occurs between the aortic valve annulus and the sinotubular junction. SOVA rupture is a rare and potentially fatal cardiac anomaly that requires prompt attention. A timely diagnosis and appropriate management of the latter are usually necessary for the procurement of a favorable prognosis. Whereas right coronary sinuses are usually most commonly affected followed by non-coronary sinuses, sinus of Valsalva aneurysms rarely arise from the left coronary sinus due to external support from the right ventricle and the pulmonary trunk. Herein, we present a 62-year-old Caucasian male who initially presented with severe dyspnea, and was noted to have a contained, ruptured sinus of Valsalva aneurysm arising from the left coronary sinus. Diagnosis was made using different imaging modalities, and he was subsequently managed and treated promptly with a successful outcome. Given its rarity and potential for serious comorbidities and mortality, we aim to provide a review of SOVA rupture epidemiology, diagnosis, and management.

Publisher or Conference

Journal of Cardiology Case Reports

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