J Korean Soc Radiol.  2010 Dec;63(6):509-512.

MDCT Findings of Sinus of Valsalva Aneurysms Involving Two Coronary Sinuses: Case Report

• Kim EM
• Kim SY
• Lee SY
• Chang WI
• Kim CY
• Hur G

Abstract

A sinus of Valsalva aneurysm is relatively rare and usually involves a single sinus. We describe here the multidetector computed tomography features of a case of an unruptured sinus of Valsalva aneurysms that affected the left and noncoronary sinuses in a 51-year-old woman.

MeSH Terms

Aneurysm
Female
Humans
Middle Aged
Multidetector Computed Tomography
Sinus of Valsalva
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 A transthoracic echocardiography shows the dilatation of the left coronary (LC) and non-coronary (NC) sinuses. The left atrium (LA) is compressed by the dilated left coronary sinus.

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  Fig. 2 64 slice-MDCT scans of a 51-year-old woman presenting with chest discomfort for four days. A, B. Two axial images show the unruptured left coronary sinus of Valsalva aneurysm (A, arrow) and the noncoronary sinus of Valsalva aneurysm (B, arrow head). C. The MPR image shows the dilation of the left coronary (LC) and noncoronary (NC) sinus of Valsalva and the normal right coronary sinus (RC).

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  Fig. 3 A, B. The MPR image (A) and 3-dimensional volume-rendering images (B) show the compression of the left main coronary artery (arrows) by the LC-SVA.

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