A case report of pseudoaneurysm of left sinus of Valsalva invaded into the left ventricle with severe aortic regurgitation

Hyun Oh Park,Ki Nyun Kim,Seong Ho Moon,Dong Hoon Kang,Jun Ho Yang,In Seok Jang,Jun Young Choi,Chung Eun Lee,Sung Hwan Kim,Jae Jun Jung,Joung Hun Byun,Jong Woo Kim

doi:10.1186/s13019-018-0754-1

Abstract

BackgroundThe pseudoaneurysms of sinus of Valsalva is an uncommon and serious complication of an infection, trauma, or after cardiac surgery or procedure. Pseudoaneurysms of sinus of Valsalva from left is rare. We describe a case of pseudoaneurysm of the left coronary sinus of Valsalva invaded into the left ventricle (LV) diagnosed by transthoracic echocardiography (TTE), transesophageal ecoccardiography (TEE), and multiple detector computed tomography (MDCT).Case presentationA 44-year-old male patient had New York Heart Association (NYHA) class II / III dyspnea during 4 months. He underwent surgery including aortic valve replacement using mechanical prosthesis, and he was discharged well without significant complications on follow – up TTE and chest computed tomography (CT) post-operative 7 days.ConclusionsWe report this rare case in which a ruptured pseudoaneurysm of sinus of Valsalva into LV with severe AR due to perforation of LCC was successfully-treated.

Highlights

The pseudoaneurysms of sinus of Valsalva is an uncommon and serious complication of an infection, trauma, or after cardiac surgery or procedure
We report this rare case in which a ruptured pseudoaneurysm of sinus of Valsalva into left ventricle (LV) with severe aortic regurgitation (AR) due to perforation of left coronary cusp (LCC) was successfully-treated
We report a case of patient who underwent surgical collection for the pseudoaneurysms of sinus of Valsalva invaded into the LV combined with left coronary cusp (LCC) perforation occurring without previous any procedures, heart surgery and definitive infection signs

Summary

Introduction

Conclusions: We report this rare case in which a ruptured pseudoaneurysm of sinus of Valsalva into LV with severe AR due to perforation of LCC was successfully-treated. Background The pseudoaneurysms of sinus of Valsalva is an uncommon and serious complication of an infection, trauma, or after cardiac surgery or procedure [1]. It arise from right and non-coronary sinuses, and pseudoaneurysms of sinus of Valsalva from left is rare.

Results

Conclusion