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DOI: 10.1055/s-0029-1185735
© Georg Thieme Verlag KG Stuttgart · New York
“When Aneurysm Ain't Aneurysm”: Sinus of Valsalva Aneurysm Mimicked by Healed Abscess Cavity under the Aortic Valve
Publication History
received January 22, 2009
Publication Date:
25 August 2009 (online)
Abstract
In a 70-year-old patient with severe aortic valve stenosis, preoperative standard imaging (transthoracic echocardiography and angiography) detected an unclear subannular cavity structure. Initially interpreted as an aneurysm of Valsalva, the structure was identified intraoperatively as a huge chronic abscess cavity and exclusion was carried out by pericardial patch plasty. This case draws attention to the importance of a differential diagnosis of an abscess due to infective endocarditis in cases of unclear subannular structures rashly diagnosed as aneurysm of Valsalva.
Key words
Sinus of Valsalva - infective endocarditis - pericardial patch plasty
References
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Mr. Maximilian Y. Emmert
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