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CC BY 4.0 · Aorta (Stamford) 2020; 08(04): 107-110
DOI: 10.1055/s-0040-1722099
Case Report

Ruptured Aneurysm of the Sinus of Valsalva Causing Pulmonary Embolism: A Rare Association

Francisco V. C. Barroso
1   Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
,
Isabela T. Takakura
1   Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
2   School of Medicine, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil
,
Ricardo C. Reis
3   Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
,
Acrisio S. Valente
1   Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
,
Neiberg A. Lima
1   Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
,
Camila R. F. Gomes
1   Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
,
José Justo Neto Júnior
3   Department of Pneumology, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
,
Carlos R. M. Rodrigues Sobrinho
1   Department of Cardiology and Cardiovascular Surgery, Federal University of Ceará (UFC), Walter Cantídio University Hospital, Fortaleza, Ceará, Brazil
› Author Affiliations Funding None.
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Abstract

Aneurysms of the sinus of Valsalva are rare. Unruptured sinus of Valsalva aneurysm is usually asymptomatic and rarely presents as right ventricular outflow obstruction, myocardial infarction as a result of coronary artery compression, conduction disturbances, or endocarditis. They have only been reported as the presumed source of embolism in six cases. We report a patient with right sinus of Valsalva rupture to the right atrium and embolization of aneurysm contents to the pulmonary vasculature.

Keywords

sinus of Valsalva's aneurysm - pulmonary embolism - aneurysm


Publication History

Received: 07 September 2018

Accepted: 24 May 2020

Article published online:
11 December 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Liu F, Zhu Z, Ren J, Mu J. A rare cause of sudden dyspnea and unexpected death in adolescence: fistula from aortic sinus of Valsalva to right atrium. Int J Clin Exp Med 2014; 7 (09) 2945-2947
    PubMedSearch in Google Scholar
  • 2 Wortham DC, Gorman PD, Hull RW, Vernalis MN, Gaither NS. Unruptured sinus of Valsalva aneurysm presenting with embolization. Am Heart J 1993; 125 (03) 896-898
    CrossrefPubMedSearch in Google Scholar
  • 3 Stöllberger C, Seitelberger R, Fenninger C, Prainer C, Slany J. Aneurysm of the left sinus of Valsalva. An unusual source of cerebral embolism. Stroke 1996; 27 (08) 1424-1426
    CrossrefPubMedSearch in Google Scholar
  • 4 Shahrabani RM, Jairaj PS. Unruptured aneurysm of the sinus of Valsalva: a potential source of cerebrovascular embolism. Br Heart J 1993; 69 (03) 266-267
    CrossrefPubMedSearch in Google Scholar
  • 5 Ruzieh M, Shafiq Q, Murphy L, Bonnell M, Khouri S. Embolic stroke due to sinus of Valsalva aneurysm thrombus. Am J Med Sci 2016; 352 (03) 333-334
    CrossrefPubMedSearch in Google Scholar
  • 6 Nakata A, Yoshizawa H, Hirota S, Takazakura E. Sinus of Valsalva thrombosis causing renal infarction. Intern Med 2006; 45 (15) 909-912
    CrossrefPubMedSearch in Google Scholar
  • 7 Gündoğdu F, Bakırcı EM, Değirmenci H, Becit N. Sinus of Valsalva thrombosis causing peripheral embolism. Turk Kardiyol Dern Ars 2011; 39 (01) 52-54
    PubMedSearch in Google Scholar
  • 8 Phatarpekar A, Phadke M, Lanjewar C, Kerkar P. Is the sac waiting to rupture? Sinus of Valsalva aneurysm. Aorta (Stamford) 2016; 4 (03) 105-107
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 Marroush TS, Boshara AR, Botros B. et al. Rupture of sinus of Valsalva aneurysm: Two case reports and a concise review of the literature. Heart Lung 2018; 47 (02) 131-135
    CrossrefPubMedSearch in Google Scholar
  • 10 Gonzalez JB, Koul S, Sawardekar U, Bhat PK, Kirshenbaum KJ, Sukerkar AN. Images in cardiovascular medicine. Sinus of Valsalva aneurysms: a unique case of giant aneurysms involving all 3 sinuses. Circulation 2008; 117 (15) e308-e311
    CrossrefPubMedSearch in Google Scholar
  • 11 Steinberg E, Wun H, Bosco J, Kronzon I. Spontaneous echocardiographic contrast within an unruptured sinus of Valsalva aneurysm: a potential embolic source diagnosed by transesophageal echocardiography. J Am Soc Echocardiogr 1996; 9 (06) 880-881
    CrossrefPubMedSearch in Google Scholar
  • 12 Umeda H, Isotani A, Arita T. et al. Rapid growth of thrombus formation in the unruptured sinus of Valsalva aneurysm following coronary angiography. J Echocardiogr 2018; 16 (04) 182-184
    CrossrefPubMedSearch in Google Scholar
  • 13 Brandão A, Nabais S, Salomé N. et al. Thrombosed aneurysm of the left sinus of Valsalva. Rev Port Cardiol 2008; 27 (04) 485-491
    PubMedSearch in Google Scholar
  • 14 Xiao JW, Wang QG, Zhang DZ. et al. Clinical outcomes of percutaneous or surgical closure of ruptured sinus of Valsalva aneurysm. Congenit Heart Dis 2018; 13 (02) 305-310
    CrossrefPubMedSearch in Google Scholar