Case of a Large Unruptured Sinus of Valsalva Aneurysm Invoving Non Coronary Cusp

Malini Sasidharan, Ajay Alex and Harikumaran Nair

Department of Radio Diagnosis, Government T.D. Medical College, India

^*Correspondance to: Ajay Alex 

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Abstract:

A sinus of Valsalva aneurysm is a rare cardiac anomaly that may be congenital or acquired. It involves aneurysmal dilation of the coronary or non coronary cusps at the region of aortic root. These are more common to involve the coronary cusps, with very few case reports of an unruptured non coronary cusp involvement. We report a case of a 58 yr old female presenting with dyspnoea and chest pain. Clinical examination revealed bilateral pedal oedema and pan systolic cardiac murmur. Chest radiograph and echocardiography was done for the patient with contrast enhanced computed tomography (CECT) and Magnetic Resonance Imaging (MRI) done for detailed evaluation. Imaging showed a large unruptured sinus of Valsalva aneurysm involving the non coronary cusp of aorta compressing the left atria and RVOT. Thrombosis of the wall of the aneurysm was also identified. Large sinus of Valsalva aneurysms which remain unruptured, are rare as per literature. Patient underwent patch repair of the lesion and was put on follow up.

Keywords:

Sinus of valsalva aneurysm; Cardiac MRI; Cardiac failure

Cite the Article:

Sasidharan M, Alex A, Nair H. Case of a Large Unruptured Sinus of Valsalva Aneurysm Invoving Non Coronary Cusp. Ann Clin Case Rep. 2016; 1: 1209.