A 28-year-old man presented with acute onset of chest pain. Transthoracic echocardiography confirmed an aneurysm of the sinus of Valsalva dissecting into the interventricular septum. During the next 12 h, the aneurysm enlarged to involve the entire interventricular septum, and the patient developed features of cardiac tamponade. He underwent successful surgical repair.
WarthenRO.Congenital aneurysm of the right anterior sinus of Valsalva (interventricular aneurysm) with spontaneous rupture into the left ventricle. Am Heart J1949; 37: 975–981.
2.
ChoudharySKBhanAReddySCSharmaRMurariVAiranB. Aneurysm of sinus of Valsalva dissecting into interventricular septum. Ann Thorac Surg1998; 65: 735–740.
3.
SakakibaraSKonnoS.Congenital aneurysm of sinus of Valsalva. A clinical study. Am Heart J1962; 63: 708–719.
4.
SakakibaraSKonnoS.Congenital aneurysms of the sinuses of Valsalva. Anatomy and classification. Am Heart J1962; 63: 405–424.
5.
DurasPF.Heart block with aneurysm of the aortic sinus. Br Heart J1944; 6: 61–63.
6.
MetrasDCoulibalyAOOuattaraK.Calcified unruptured aneurysm of sinus of Valsalva with complete heart block and aortic regurgitation. Successful repair in one case. Br Heart J1982; 48: 507–509.
7.
HeydornWHNelsonWPFittererJDFloydGBStreveyTE.Congenital aneurysm of the sinus of Valsalva protruding into the left ventricle. Review of diagnosis and treatment of the unruptured aneurysm. J Thorac Cardiovasc Surg1976; 71: 839–845.
8.
KutayVEkimHYakutC.Surgical repair of postoperative left sinus of Valsalva aneurysm dissecting into the interventricular septum. Ann Thorac Surg2005; 79: 341–343.
