Surgical Repair of Unruptured Pseudoaneurysm of Sinus of Valsalva in Aortic Stenosis

Deepak Bohra

doi:10.31579/2641-0419/179

Abstract

Isolated pseudoaneurysm of a sinus of Valsalva is an uncommon sequelae of infective endocarditis. It is very uncommon in native aortic valve stenosis as compared to aortic regurgitation. We present a case of a 46 year old gentleman with a severely stenotic aortic valve with infective endocarditis, and a pseudoaneurysm of the non coronary sinus of Valsalva. The pseudoaneurysm was repaired with a prosthetic patch and the aortic valve was replaced by a mechanical prosthesis. Transthoracic echocardiography and computed tomography aortogram are an ideal diagnostic tools in suspected cases. Surgery can be curative with excellent results.

Highlights

Pseudoaneurysm of the native aortic sinus of valsalva is an uncommon condition which occurs spontaneously or secondary to infection, trauma [1]
Infective endocarditis can lead to many complications like abscess formation, pseudoaneurysms and aortocavitary fistula formation with lethal effects
We report a case of a severely stenotic aortic valve with infective endocarditis and pseudoaneurysm of the non coronary sinus of Valsalva (NCSOV) with a successful surgical cure

Summary

Introduction

Pseudoaneurysm of the native aortic sinus of valsalva is an uncommon condition which occurs spontaneously or secondary to infection, trauma [1]. Infective endocarditis can lead to many complications like abscess formation, pseudoaneurysms and aortocavitary fistula formation with lethal effects. We report a case of a severely stenotic aortic valve with infective endocarditis and pseudoaneurysm of the non coronary sinus of Valsalva (NCSOV) with a successful surgical cure. Transthoracic echocardiography (TTE) revealed thickened aortic leaflets with multiple echogenic nodules, suggestive of healed vegetations and echo free space posterior to NCSOV (Figure 1A) with a normal ejection fraction.

Results

Conclusion