Journal of the American Society of Echocardiography
Volume 23, Issue 4 , Pages 458.e7-458.e9 , April 2010

An Unusual Case of Dissecting Aneurysms Involving Both Coronary Sinuses of Valsalva

  • Ravi S. Math, MBBS, MD, DM

      Affiliations

    • Department of Cardiology, GB Pant Hospital, New Delhi, India
    • ,
  • Anita Saxena, MBBS, MD, DM

      Affiliations

    • Department of Cardiology, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India
    • Corresponding Author InformationReprint requests: Anita Saxena, MBBS, MD, DM, Suite No 29, Seventh Floor, Department of Cardiology, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
    • ,
  • Praloy Chakraborty, MBBS, MD, DM

      Affiliations

    • Department of Cardiology, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India
    • ,
  • Srikrishna M. Reddy, MBBS, MS, MCh

      Affiliations

    • Cardiothoracic and Vascular Surgery, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India
    • ,
  • A. Bisoi, MBBS, MS, MCh

      Affiliations

    • Cardiothoracic and Vascular Surgery, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India

References 

  1. Takach TJ, Reul GJ, Duncan JM, Cooley DA, Livesay JJ, Ott DA, et al. Sinus of Valsalva aneurysm or fistula: management and outcome. Ann Thorac Surg. 1999;68:1573–1577
  2. Wu Q, Xu J, Shen X, Wang D, Wang S. Surgical treatment of dissecting aneurysm of the interventricular septum. Eur J Cardiothorac Surg. 2002;22:517–520
  3. Brewer JM, Bignold LP. Multiple coronary artery aneurysms with aortic sinus aneurysms. A case report. Arch Pathol Lab Med. 1980;104:592–594
  4. Chamsi-Pasha H, Musgrove C, Morton R. Echocardiographic diagnosis of multiple congenital aneurysms of the sinus of Valsalva. Br Heart J. 1988;59:724–726
  5. Morgan JM, Coupe MO, Honey M, Miller GA. Aneurysms of the sinuses of Valsalva in Noonan's syndrome. Eur Heart J. 1989;10:190–193
  6. Dazai Y, Katoh I, Hara Y, Yoshida R, Joh T, Tomino T. A rare case of infective aneurysm involving all three sinuses of Valsalva complicated by left single coronary artery. Jpn Circ J. 1991;55:159–164
  7. Yüksel H, Yazicioğlu N, Sarioğlu T, Celiker C, Paker T, Enar R, et al. Dissection of the interventricular septum by unruptured right and left sinus of Valsalva aneurysms. Am Heart J. 1991;122:1777–1781
  8. Tami LF, Turi ZG, Arbulu A. Sinus of Valsalva aneurysms involving both coronary ostia. Cathet Cardiovasc Diagn. 1993;29:304–308
  9. Cardoso LF, Grinberg M, Vieira ML, Lopes NH, Tarasoutchi F, Lourenço Filho DD, et al. Aneurysms of the left and non coronary sinus of Valsalva associated to mitral and aortic rheumatic valves and obstructive coronary disease. Arq Bras Cardiol. 1994;63:303–305
  10. Chakfe N, Kretz JG, Nicolini P, Gasser B, Zupan M, Brechenmacher C, et al. Triple aneurysm of the Valsalva sinus complicated by right coronary occlusion: apropos of a case and review of the literature. [article in French] Ann Chir. 1994;48:825–831
  11. Silance PG, Van Camp G, Cosyns B, Brunet A, Vandenbossche JL. Echocardiographic diagnosis of right and left sinus of Valsalva aneurysms dissecting into the ventricular septum. J Am Soc Echocardiogr. 1996;9:190–194
  12. Wakabayashi Y, Tawarahara K, Kurata C. Aneurysms of all sinuses of Valsalva and aortic valve prolapse secondary to Behçet's disease. Eur Heart J. 1996;17:1766
  13. Purnell R, Williams I, Von Oppell U, Wood A. Giant aneurysms of the sinuses of Valsalva and aortic regurgitation in a patient with Noonan's syndrome. Eur J Cardiothorac Surg. 2005;28:346–348
  14. Vlachou PA, Loke I, Chin D, Vlachou C, Alexiou C, Sosnowski AW, et al. Images in cardiovascular medicine. Bilateral sinus of Valsalva aneurysms: an extreme case. Circulation. 2006;114:e542–e543
  15. Zannis K, Tzvetkov B, Deux JF, Kirsch EW. Unruptured congenital aneurisms of the right and left sinuses of Valsalva. Eur Heart J. 2007;28:1565
  16. Gonzalez JB, Koul S, Sawardekar U, Bhat PK, Kirshenbaum KJ, Sukerkar AN. Images in cardiovascular medicine. Sinus of Valsalva aneurysms: a unique case of giant aneurysms involving all 3 sinuses. Circulation. 2008;117:e308–e311
  17. Feldman DN, Roman MJ. Aneurysms of the sinuses of Valsalva. Cardiology. 2006;106:73–81
  18. Carlson M, Silberbach M. Dissection of the aorta in Turner syndrome: two cases and review of 85 cases in the literature. J Med Genet. 2007;44:745–749
  19. Vaideeswar P, Kaliamoorthy A. Aneurysm of sinus of Valsalva with extensive dissection of interventricular septum and left ventricular free wall. Int J Cardiol. 2001;77:93–95
  20. Choudhary SK, Bhan A, Reddy SC, Sharma R, Murari V, Airan B, et al. Aneurysm of sinus of Valsalva dissecting into interventricular septum. Ann Thorac Surg. 1998;65:735–740

PII: S0894-7317(09)00852-9

doi: 10.1016/j.echo.2009.09.009

Journal of the American Society of Echocardiography
Volume 23, Issue 4 , Pages 458.e7-458.e9 , April 2010

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