Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report
Sinus of Valsalva aneurysms are abnormal bulges of the aortic root caused by a tissue deficiency resulting in an enlargement of the aortic root in the area between the aortic annulus and the sinotubular junction. Frequently, sinus of Valsalva aneurysms are asymptomatic. However, sinus of Valsalva an...
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2022
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oai:doaj.org-article:42303d8965fc4c2d9951d0d170de10a92021-11-28T04:29:50ZSinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report1930-043310.1016/j.radcr.2021.10.063https://doaj.org/article/42303d8965fc4c2d9951d0d170de10a92022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007822https://doaj.org/toc/1930-0433Sinus of Valsalva aneurysms are abnormal bulges of the aortic root caused by a tissue deficiency resulting in an enlargement of the aortic root in the area between the aortic annulus and the sinotubular junction. Frequently, sinus of Valsalva aneurysms are asymptomatic. However, sinus of Valsalva aneurysms can also be potentially fatal due to their risk of rupture. We present a case of a 49-year old asymptomatic male patient with a rare image of a sinus of Valsalva aneurysm of the non-coronary cusp which was initially mistaken for a right ventricular thrombus. Surgical repair of the sinus of Valsalva aneurysm was eventually achieved by a valve sparing root replacement and the patient was discharged 7 days after surgery. This case report shows that sinus of Valsalva aneurysms are vulnerable to misdiagnosis when it is not initially suspected. Because of the potential fatality of this phenomenon we would like to underline the necessary vigilance in the diagnostic process, as sinus of Valsalva aneurysms can be missed when the physician is not aware of this potential rare diagnosis.Sulayman el Mathari, MDTeun van der Bom, MD, PhDBerto Bouma, MD, PhDAntoine Driessen, MD, PhDJolanda Kluin, MD, PhDElsevierarticleSinus of Valsalva aneurysmRight ventricular thrombusCardiac surgeryECG-gated computed tomographyTransthoracic echocardiographyMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 306-309 (2022) |
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Sinus of Valsalva aneurysm Right ventricular thrombus Cardiac surgery ECG-gated computed tomography Transthoracic echocardiography Medical physics. Medical radiology. Nuclear medicine R895-920 |
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Sinus of Valsalva aneurysm Right ventricular thrombus Cardiac surgery ECG-gated computed tomography Transthoracic echocardiography Medical physics. Medical radiology. Nuclear medicine R895-920 Sulayman el Mathari, MD Teun van der Bom, MD, PhD Berto Bouma, MD, PhD Antoine Driessen, MD, PhD Jolanda Kluin, MD, PhD Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report |
description |
Sinus of Valsalva aneurysms are abnormal bulges of the aortic root caused by a tissue deficiency resulting in an enlargement of the aortic root in the area between the aortic annulus and the sinotubular junction. Frequently, sinus of Valsalva aneurysms are asymptomatic. However, sinus of Valsalva aneurysms can also be potentially fatal due to their risk of rupture. We present a case of a 49-year old asymptomatic male patient with a rare image of a sinus of Valsalva aneurysm of the non-coronary cusp which was initially mistaken for a right ventricular thrombus. Surgical repair of the sinus of Valsalva aneurysm was eventually achieved by a valve sparing root replacement and the patient was discharged 7 days after surgery. This case report shows that sinus of Valsalva aneurysms are vulnerable to misdiagnosis when it is not initially suspected. Because of the potential fatality of this phenomenon we would like to underline the necessary vigilance in the diagnostic process, as sinus of Valsalva aneurysms can be missed when the physician is not aware of this potential rare diagnosis. |
format |
article |
author |
Sulayman el Mathari, MD Teun van der Bom, MD, PhD Berto Bouma, MD, PhD Antoine Driessen, MD, PhD Jolanda Kluin, MD, PhD |
author_facet |
Sulayman el Mathari, MD Teun van der Bom, MD, PhD Berto Bouma, MD, PhD Antoine Driessen, MD, PhD Jolanda Kluin, MD, PhD |
author_sort |
Sulayman el Mathari, MD |
title |
Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report |
title_short |
Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report |
title_full |
Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report |
title_fullStr |
Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report |
title_full_unstemmed |
Sinus Valsalva Aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: A case report |
title_sort |
sinus valsalva aneurysm of the non-coronary cusp initially diagnosed as right ventricular thrombus: a case report |
publisher |
Elsevier |
publishDate |
2022 |
url |
https://doaj.org/article/42303d8965fc4c2d9951d0d170de10a9 |
work_keys_str_mv |
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