DOI QR코드

DOI QR Code

Valsalva Aneurysm Filled with Thrombi Mimicking a Cardiac Tumor

  • Published : 2012.12.31

Abstract

A Valsalva aneurysm filled with thrombi can be difficult to diagnose, because it mimics a cardiac tumor. Both cardiac magnetic resonance imaging (MRI) and transesophageal echocardiogram (TEE) were performed on a patient who showed a low-echoic mass located between the atrial septum and the non-coronary sinus. Based on MRI findings allowing tissue characterization and the accurate location of the mass and the TEE findings of an irregular surface of the mass and a partial defect in the edge of the non-coronary sinus, we diagnosed the mass as a thrombosed Valsalva aneurysm that had perforated the inter-atrial septum. The operative findings coincided with the preoperative diagnosis. Both MRI and TEE are useful for diagnosing this condition.

Keywords

References

  1. Flynn MS, Castello R, McBride LW, Labovitz AJ. Ruptured congenital aneurysm of the sinus of Valsalva with persistent left superior vena cava imaged by intraoperative transesophageal echocardiography. Am Heart J 1993;125:1185-7. https://doi.org/10.1016/0002-8703(93)90141-U
  2. Copeland JG, Valdes-Cruz L, Sahn DJ. Endomyocardial biopsy with fluoroscopic and two-dimensional echocardiographic guidance: case report of a patient suspected of having multiple cardiac tumors. Clin Cardiol 1984;7:449-52. https://doi.org/10.1002/clc.4960070806
  3. Meier JH, Seward JB, Miller FA Jr, Oh JK, Enriquez-Sarano M. Aneurysms in the left ventricular outflow tract: clinical presentation, causes, and echocardiographic features. J Am Soc Echocardiogr 1998;11:729-45. https://doi.org/10.1053/je.1998.v11.a91047
  4. Popescu BA, Muraru D, Beladan CC, Lacau IS, Ginghina C. Images in cardiology: atrioventricular block in the elderly: does echocardiography hold the key? J Am Coll Cardiol 2011;57:219. https://doi.org/10.1016/j.jacc.2010.05.062
  5. Wang ZJ, Zou CW, Li DC, et al. Surgical repair of sinus of Valsalva aneurysm in Asian patients. Ann Thorac Surg 2007;84:156-60. https://doi.org/10.1016/j.athoracsur.2007.03.022
  6. Nagueh SF. Assessment of valvular regurgitation with Doppler echocardiography. Cardiol Clin 1998;16:405-19. https://doi.org/10.1016/S0733-8651(05)70022-9
  7. Mookadam F, Haley J, Mendrick E. Rare cause of right heart failure: contained rupture of a sinus of Valsalva aneurysm associated intraventricular septal aneurysm. Eur J Echocardiogr 2005;6:221-4. https://doi.org/10.1016/j.euje.2004.09.008
  8. Lijoi A, Parodi E, Passerone GC, Scarano F, Caruso D, Iannetti MV. Unruptured aneurysm of the left sinus of valsalva causing coronary insufficiency: case report and review of the literature. Tex Heart Inst J 2002;29:40-4.
  9. Shahrabani RM, Jairaj PS. Unruptured aneurysm of the sinus of Valsalva: a potential source of cerebrovascular embolism. Br Heart J 1993;69:266-7. https://doi.org/10.1136/hrt.69.3.266
  10. Sasaki S, Asano M, Fukuda K, et al. Unruptured sinus of Valsalva aneurysm suspected to be a cardiac tumor. Ann Thorac Surg 2009;87:1619. https://doi.org/10.1016/j.athoracsur.2008.08.044
  11. Hoey ET, Kanagasingam A, Sivananthan MU. Sinus of valsalva aneurysms: assessment with cardiovascular MRI. AJR Am J Roentgenol 2010;194:W495-504. https://doi.org/10.2214/AJR.09.3570

Cited by

  1. Thrombosed sinus of Valsalva aneurysm masquer ading as a cardiac tumour: a case report vol.5, pp.8, 2012, https://doi.org/10.1093/ehjcr/ytab259