Precis Future Med.  2019 Jun;3(2):85-89. 10.23838/pfm.2019.00030.

Sinus of Valsalva aneurysm after blunt chest trauma with complicated perforation by infective endocarditis

• Hyeon CW
• Park SJ
• Kim SR
• Kim EK
• Kim SM
• Chang SA
• Lee SC
• Sung K
• Park SW

• KMID: 2469531
• DOI: http://doi.org/10.23838/pfm.2019.00030

Abstract

Sinus of Valsalva aneurysm (SVA), is a rare disease that may occur not only secondary to congenital or systemic diseases, but can also be related to acquired diseases such as aortic dissection, infection, and trauma. We report a rare case of SVA that presented as fever. We made a fairly accurate diagnosis that aneurysmal perforation into the right ventricle from complicated infective endocarditis using multimodality imaging tools, including transthoracic, transesophageal echocardiography and computed tomography. With regard to the cause of SVA, there were no associated findings of congenital or systemic diseases. However, we have noticed that the patient had a critical motorcycle accident 4 years ago. Based on the medical records and images at that time, we could estimate that the blunt chest trauma was the possible cause. Here, we share exciting images obtained during the process of diagnosing the patient and identifying the mechanisms of this uncommon disease.

Keyword

Accidents, traffic; Aneurysm; Endocarditis; Fistula; Sinus of Valsalva

MeSH Terms

Accidents, Traffic
Aneurysm*
Diagnosis
Echocardiography, Transesophageal
Endocarditis*
Fever
Fistula
Heart Ventricles
Humans
Medical Records
Motorcycles
Rare Diseases
Sinus of Valsalva*
Thorax*