Gigantic unruptured sinus of Valsalva aneurysm presenting as an incidental murmur

Hatim Yagoub; Bhanu Prakash Srinivas; James McCarthy; Thomas John Kiernan

doi:10.1136/bcr-2012-006824

Gigantic unruptured sinus of Valsalva aneurysm presenting as an incidental murmur

Hatim Yagoub, Bhanu Prakash Srinivas, James McCarthy, Thomas John Kiernan

Research output: Contribution to journal › Article › peer-review

Abstract

We report a case of a 56-year-old man referred by his family physician with an asymptomatic cardiac murmur. Trans-thoracic echocardiography (TTE) suggested an unruptured right sinus of Valsalva aneurysm (SVA) causing extrinsic compression of the right ventricular outflow tract. This was confirmed with an ECG-gated cardiac CT showing a large right SVA measuring 35x37x42 mm in size. Coronary angiography demonstrated non-obstructive coronary artery disease. Ascending thoracic anterior in the right anterior oblique view delineated the right SVA. The patient underwent aortic valve sparing surgical repair of the aneurysm with an excellent result. Echocardiography con firmed obliteration of the aneurysm and normal aortic valve function postoperatively.

Original language	English
Journal	BMJ Case Reports
DOIs	https://doi.org/10.1136/bcr-2012-006824
Publication status	Published - 2012
Externally published	Yes

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abstract = "We report a case of a 56-year-old man referred by his family physician with an asymptomatic cardiac murmur. Trans-thoracic echocardiography (TTE) suggested an unruptured right sinus of Valsalva aneurysm (SVA) causing extrinsic compression of the right ventricular outflow tract. This was confirmed with an ECG-gated cardiac CT showing a large right SVA measuring 35x37x42 mm in size. Coronary angiography demonstrated non-obstructive coronary artery disease. Ascending thoracic anterior in the right anterior oblique view delineated the right SVA. The patient underwent aortic valve sparing surgical repair of the aneurysm with an excellent result. Echocardiography con firmed obliteration of the aneurysm and normal aortic valve function postoperatively.",

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AU - McCarthy, James

AU - Kiernan, Thomas John

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AB - We report a case of a 56-year-old man referred by his family physician with an asymptomatic cardiac murmur. Trans-thoracic echocardiography (TTE) suggested an unruptured right sinus of Valsalva aneurysm (SVA) causing extrinsic compression of the right ventricular outflow tract. This was confirmed with an ECG-gated cardiac CT showing a large right SVA measuring 35x37x42 mm in size. Coronary angiography demonstrated non-obstructive coronary artery disease. Ascending thoracic anterior in the right anterior oblique view delineated the right SVA. The patient underwent aortic valve sparing surgical repair of the aneurysm with an excellent result. Echocardiography con firmed obliteration of the aneurysm and normal aortic valve function postoperatively.

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SN - 1757-790X

JO - BMJ Case Reports

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ER -

Gigantic unruptured sinus of Valsalva aneurysm presenting as an incidental murmur

Abstract

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