A sinus of Valsalva aneurysm arising from the left coronary cusp and rupturing into the superior vena cava is extremely rare. We performed patch closure of such an aneurysm in a 23-year-old female who presented with syncopal attacks, exertional dyspnea, and chest pain. Recent advances in diagnostic techniques facilitated the planning of treatment. The complexity of the anatomical course precluded a catheter-based intervention. Surgical closure remains the treatment of choice in complex cases.
BrickerAOAvutuBMohammedTL, et al.
Valsalva sinus aneurysms: findings at CT and MR imaging.Radiographics2010;
30: 99–110.
2.
NakanoTOkanoHKonishiT, et al.
Aneurysm of the left aortic sinus caused by Takayasu’s arteritis: compression of the left coronary artery producing coronary insufficiency.J Am Coll Cardiol1986;
7: 696–700.
3.
DeMariaAN and BlanchardDG.Echocardiography. In: FusterV and WalshRAHarringtonRA, editors. Hurst’s the Heart Manual of Cardiology. 13th ed.
New York, NY:
McGraw-Hill, 2011.
4.
HopeJ, editor. A Treatise on the Disease of the Heart and Great Vessels. 3rd ed.
Philadelphia PA:
Lea and Blanchard,
1839: 466–471.
YanFHuoQQiaoJMuratV and MaSF.Surgery for sinus of Valsalva aneurysm: 27-year experience with 100 patients.Asian Cardiovasc Thorac Ann2008;
16: 361–365.
7.
CullenSSomervilleJ and RedingtonA.Transcatheter closure of ruptured aneurysm of sinus of Valsalva.Br Heart J1994;
71: 479–80.
8.
KuriakoseEMBhatlaP and McElhinneyDB.Comparison of reported outcomes with percutaneous versus surgical closure of ruptured sinus of Valsalva aneurysm.Am J Cardiol2015;
115: 392–398.
