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

• Published in: Journal of cardiothoracic surgery Vol. 19; no. 1; pp. 53 - 4
• Main Authors: Zhang, Lei, Ji, Dong-hui, Li, Xiao-yun, Liang, Kuo-peng
• Format: Journal Article
• Language: English
• Published: London BioMed Central 04.02.2024; BioMed Central Ltd; BMC
• Subjects: Adult; Aneurysm; Aneurysms; Aortic Aneurysm - complications; Aortic Aneurysm - diagnostic imaging; Aortic Aneurysm - surgery; Aortic Diseases - complications; Aortic Dissection; Aortic Rupture - diagnosis; Aortic Rupture - diagnostic imaging; Asymptomatic; Cardiac Surgery; Case Report; Computed tomography; Congenital defects; Congenital heart disease; Coronary Sinus; Cysts; Dyspnea; Echocardiography; Electrocardiography; Genetic disorders; Heart; Heart failure; Hemodynamics; Humans; Interventricular septum; Magnetic resonance imaging; Male; Medicine; Medicine & Public Health; Pain; Respiration; Rupture; Rupturing; Septum; Sinus of Valsalva - diagnostic imaging; Sinus of Valsalva - pathology; Sinus of Valsalva - surgery; Surgery; Thoracic Surgery; Valsalva; Ventricular Septum - diagnostic imaging; Ventricular Septum - surgery; Interventricular septum; Aneurysm; Valsalva; Coronary sinus
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/s13019-024-02513-4

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.