Gigantic unruptured sinus of Valsalva aneurysm presenting as an incidental murmur.
Affiliation
Department of Cardiology, Mallow General Hospital, Mallow, Cork, Ireland. drhatimyagoub@yahoo.comIssue Date
2012MeSH
Aortic AneurysmAortic Valve
Coronary Artery Disease
Heart Murmurs
Humans
Male
Middle Aged
Sinus of Valsalva
Ventricular Outflow Obstruction
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Gigantic unruptured sinus of Valsalva aneurysm presenting as an incidental murmur. 2012, 2012: BMJ Case RepJournal
BMJ case reportsDOI
10.1136/bcr-2012-006824PubMed ID
23008378Abstract
We report a case of a 56-year-old man referred by his family physician with an asymptomatic cardiac murmur. Trans-thoracic echocardiography (TTE) suggested an unruptured right sinus of Valsalva aneurysm (SVA) causing extrinsic compression of the right ventricular outflow tract. This was confirmed with an ECG-gated cardiac CT showing a large right SVA measuring 35×37×42 mm in size. Coronary angiography demonstrated non-obstructive coronary artery disease. Ascending thoracic anterior in the right anterior oblique view delineated the right SVA. The patient underwent aortic valve sparing surgical repair of the aneurysm with an excellent result. Echocardiography confirmed obliteration of the aneurysm and normal aortic valve function postoperatively.Language
enISSN
1757-790Xae974a485f413a2113503eed53cd6c53
10.1136/bcr-2012-006824
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