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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Autores principales: Sulayman el Mathari, MD, Teun van der Bom, MD, PhD, Berto Bouma, MD, PhD, Antoine Driessen, MD, PhD, Jolanda Kluin, MD, PhD
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Lenguaje:EN
Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/42303d8965fc4c2d9951d0d170de10a9
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Sinus of Valsalva aneurysm
Right ventricular thrombus
Cardiac surgery
ECG-gated computed tomography
Transthoracic echocardiography
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle 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
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