Left sinus of valsalva aneurysm ruptured into left ventricle: A case report of 320-multidetector CT findings

Sinus of Valsalva aneurysm protruding into the mitral anterior leaflet causing dyspnea: A CARE-compliant case report

INTRODUCTION

Sinus of Valsalva aneurysm (SVA) protruding into the mitral anterior leaflet is an extremely rare clinical condition; herein, we present a case of unruptured noncoronary SVA protruding into the mitral anterior leaflet.

PATIENT'S CONCERNS

A 46-year-old male was referred to hospital for exertional dyspnea.

DIAGNOSIS

Transthoracic echocardiography (TTE) and coronary computed tomography angiography (CTA) suggested a noncoronary SVA protruding into the mitral anterior leaflet, causing mitral regurgitation and aortic insufficiency.

INTERVENTIONS

The aneurysm was resected and the aortic and mitral valves were replaced with mechanical valves via a transaortic approach.

OUTCOMES

Postoperative recovery was uneventful.

CONCLUSIONS

A rare noncoronary SVA protruding into the mitral anterior leaflet can be diagnosed via TTE and CTA. Transaortic mitral surgery is feasible in patients with a dilated aortic annulus ring and mitral valve diseases.

Spontaneous Rupture of Sinus of Valsalva Aneurysm Presenting as Perivalvular Hematoma

Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe the case of a 63-year-old male who presented with acute shortness of breath and was found to have rupture of sinus of Valsalva aneurysm (SVA) with a perivalvular hematoma and severe aortic regurgitation. We also review the presentation, diagnosis, and management of SVAs.