Huge calcified aneurysm of the sinus of valsalva

被引:9
作者
Rhew, JY [1 ]
Jeong, MH [1 ]
Kang, KT [1 ]
Lee, SH [1 ]
Park, JC [1 ]
Ahn, YK [1 ]
Kim, YH [1 ]
Cho, JG [1 ]
Ahn, BH [1 ]
Kim, SH [1 ]
Park, JC [1 ]
Kang, JC [1 ]
机构
[1] Chonnam Natl Univ Hosp, Cardiac Catheterizat Lab, Ctr Heart, Res Inst Med Sci,Kwang Ju, Kwangju 501757, South Korea
来源
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION | 2001年 / 65卷 / 03期
关键词
aneurysm; calcification; pericardial effusion; sinus valsalva;
D O I
10.1253/jcj.65.239
中图分类号
N09 [自然科学史]; B [哲学、宗教];
学科分类号
01 ; 0101 ; 010108 ; 060207 ; 060305 ; 0712 ;
摘要
Aneurysms of the sinus of Valsalva often remain undiagnosed until they rupture. A 61-year-old man had a huge, heavily calcified unruptured aneurysm, originating from the right sinus of Valsalva, detected incidentally on a chest radiograph taken for the diagnosis of cardiomegaly. Two-dimensional echocardiography revealed pericardial effusion with a huge calcified mass compressing the right ventricular outflow tract. The Doppler color-how echocardiogram showed blood flow from the aortic root into the aneurysm. A chest computed tomographic scan revealed a large thrombosed aneurysm originating from the aortic root and measuring 10x10 cm. After pericardiocentesis, cardiac catheterization was performed, which showed that the right ventricular systolic pressure had elevated to 80 mmHg. Aortic root aortography demonstrated a huge unruptured calcified aneurysm in the sinus of Valsalva arising from the right coronary sinus. The patient underwent surgical correction to prevent aneurysmal rupture and to relieve the right ventricular outflow obstruction.
引用
收藏
页码:239 / 241
页数:3
相关论文
共 18 条
[1]   UNRUPTURED ANEURYSM OF THE SINUS OF VALSALVA PRESENTING WITH VENTRICULAR-TACHYCARDIA [J].
CHANNER, KS ;
HUTTER, JA ;
GEORGE, M .
EUROPEAN HEART JOURNAL, 1988, 9 (02) :186-190
[2]  
Chipps HD, 1941, ARCH PATHOL, V31, P627
[3]  
FAILLACE RT, 1985, BRIT HEART J, V54, P442
[4]   UNRUPTURED SINUS OF VALSALVA ANEURYSM [J].
FISHBEIN, MC ;
OBMA, R ;
ROBERTS, WC .
AMERICAN JOURNAL OF CARDIOLOGY, 1975, 35 (06) :918-922
[5]   ISOLATED UNRUPTURED SINUS OF VALSALVA ANEURYSM PRODUCING RIGHT VENTRICULAR OUTFLOW OBSTRUCTION [J].
HARAPHONGSE, M ;
AYUDHYA, RKN ;
JUGDUTT, B ;
ROSSALL, RE .
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1990, 19 (02) :98-102
[6]  
HENRY RE, 1989, W INDIAN MED J, V38, P250
[7]   UNRUPTURED SINUS OF VALSALVA ANEURYSM WITH RIGHT VENTRICULAR OUTFLOW OBSTRUCTION DIAGNOSED BY TWO-DIMENSIONAL AND DOPPLER ECHOCARDIOGRAPHY [J].
KIEFABER, RW ;
TABAKIN, BS ;
COFFIN, LH ;
GIBSON, TC .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (02) :438-442
[8]   CONGENITAL ANEURYSM OF THE NONCORONARY SINUS OF VALSALVA LEADING TO COMPLETE HEART BLOCK - CASE REPORT [J].
LEE, EB ;
KRIEGER, OJ ;
LEE, NK .
ANNALS OF INTERNAL MEDICINE, 1956, 45 (03) :525-534
[9]   ECHOCARDIOGRAPHIC DIAGNOSIS OF UNRUPTURED SINUS OF VALSALVA ANEURYSM [J].
LEWIS, BS ;
AGATHANGELOU, NE .
AMERICAN HEART JOURNAL, 1984, 107 (05) :1025-1027
[10]   Isolated unruptured aneurysm of the right sinus of Valsalva causing right ventricular outflow obstruction [J].
Marques, KMJ ;
De Cock, CC ;
Visser, CA .
HEART, 1999, 81 (04) :447-448