Images in cardiovascular medicine. Sinus of valsalva rupture with dissection into the interventricular septum: diagnosis by echocardiography and magnetic resonance imaging

Dissecting Aneurysm of the Interatrial and Interventricular Septum with Concomitant Ventricular Septal Defect-Multimodality Cardiac Imaging and Surgical Repair

We report an exceedingly rare case of spontaneous dissecting aneurysm involving the interatrial and interventricular septum, concomitant ventricular septal defect in an 8-year-old girl, echocardiographic and multislice computed tomographic imaging, and successful surgical repair.

Large unruptured sinus of valsalva aneurysm dissecting into interventricular septum and presenting as a complex myocardial cystic mass

Unruptured aneurysm of sinus of Valsalva (SOV) is extremely rare. They may be asymptomatic and diagnosed incidentally or can present with either fatal outcome following rupture or manifest acutely with compression of surrounding structures. Dissection of unruptured aneurysm of left SOV into interventricular septum (IVS) and presenting as intramyocardial mass is not reported in the literature. We are reporting a case of 21-year-old man who was referred to us following a seizure episode and was incidentally diagnosed with aneurysm of left SOV dissecting into IVS. Multimodality imaging confirmed the diagnosis. He successfully underwent surgical repair and was asymptomatic during follow-up.

A case of right sinus of valsalva rupture with dissection into interventricular septum causing left ventricular outflow tract obstruction

Sinus of Valsalva aneurysm (SVA) is an uncommon anomaly of the aorta. Rupture of SVA often precipitates dramatic clinical complications, including heart failures. Right SVAs are the most common type, and when they rupture, they usually rupture into the right ventricle or right atrium. Rupture into left ventricle or interventricular septum is rare. Herein, we report a case of right SVA rupture with dissection into interventricular septum, which produced significant left ventricular outflow tract obstruction and aortic regurgitation. The case was successfully treated by surgical operation.

Right coronary sinus of valsalva aneurysm with rupture into the right ventricle

We report a case of right coronary sinus of Valsalva aneurysm (SVA) with rupture into the right ventricle in a 23-year-old man. The problem was successfully managed with surgical closure of both ruptured SVA and the ventricular defect with cardiopulmonary bypass through median sternotomy.