Korean Circ J.  2001 Jan;31(1):114-118. 10.4070/kcj.2001.31.1.114.

A Giant Aneurysm of the Sinus of Valsalva with Calcification

• Rhew JY
• Jeong MH
• Kang KT
• Lee SH
• Park JC
• Ahn YK
• Kim YH
• Cho JG
• Ahn BH
• Kim SH
• Park JC
• Kang JC

• KMID: 2029542
• DOI: http://doi.org/10.4070/kcj.2001.31.1.114

Abstract

Aneurysms of sinus of Valsalva often remain undiagnosed until they rupture. A huge, heavily calcified unruptured aneurysm originating from the right sinus of Valsalva was detected incidentally in a 61-year-old man. Chest X-ray showed cardiomegaly and 10 cm sized huge calcified mass lesion around the cardiac shadow. Two-dimensional echocardiogrm revealed pericardial effusion with huge calcified mass compressing right ventricular outflow and color-flow Doppler echocardiogram visualized blood flow from aortic root into aneurysm. Chest CT scan and MRI revealed a large thrombosed aneurysm arising from aortic root measuring 1010cm. After pericardiocentesis cardiac catheterization was performed, which showed elevated right ventricular systolic pressure up to 80 mmHg. Aortic root angiogram revealed huge unruptured calcified aneurysm in the sinus of Valsalva arising from the right coronary sinus. The patient underwent surgical correction for the prevention of aneurysmal rupture and the relief of right ventricular outflow obstruction.

MeSH Terms

Aneurysm*
Blood Pressure
Cardiac Catheterization
Cardiac Catheters
Cardiomegaly
Coronary Sinus
Humans
Magnetic Resonance Imaging
Middle Aged
Pericardial Effusion
Pericardiocentesis
Rupture
Sinus of Valsalva*
Thorax
Tomography, X-Ray Computed
Ventricular Outflow Obstruction