CONGENITAL ANEURYSM OF SINUS OF VALSALVA PROTRUDING INTO LEFT-VENTRICLE - REVIEW OF DIAGNOSIS AND TREATMENT OF UNRUPTURED ANEURYSM

  • 1 January 1976
    • journal article
    • research article
    • Vol. 71  (6) , 839-845
Abstract
During a routine physical examination, a 34 yr old man, in apparent good health, had an ECG which revealed left axis deviation. Cardiac evaluation disclosed mild aortic regurgitation and left anterior fascicular block. Nine months later, the patient was admitted to the critical care unit after he had experienced cardiac arrest while jogging. Angiograms demonstrated a large unruptured aneurysm in the right coronary sinus of Valsalva protruding into the left ventricle. Echocardiographic manifestations also suggest a sinus of Valsalva aneurysm. The defect was repaired through an aortic approach. The aneurysmal sac was emptied and the neck sutured securely. Twenty-two months postoperatively, the patient continued to be asymptomatic. This will probably decrease the threat of recurrent arrhythmias.

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