Ruptured Non-Coronary Sinus of Valsalva Aneurysm with Left Ventricular Outflow Tract-Left Atrial Fistula

Abstract

Aneurysm of the aortic sinus is a rare pathology and may remain clinically asymptomatic until rupture occurs. The rupture is seen most commonly into the right side of the heart but occasionally into the pericardium, the pulmonary artery, and the left ventricle. Only a few cases have been reported of rupture of a noncoronary sinus of valsalva aneurysm into the left atrium. We report a case of previously healthy 68 years old male who suddenly developed chest pain and pulmonary edema. Echocardiography and angiography revealed a rupture of a noncoronary sinus of valsalva aneurysm into the left atrium.

Keywords

• Aneurysm of sinus valsalva, noncoronary sinus; left atrial fistula

Sol Ventrikül Çıkım Yolu ile Sol Atrium Arasında Fistül Oluşturan Rüptüre Non-Koroner Sinüs Valsalva Anevrizması

Abstract

Aortik sinüs anevrizması nadir görülen bir patoloji olup rüptür oluşana kadar asemptomatik kalabilmektedir. Rüptür olursa sıklıkla kalbin sağ tarafına, zaman zaman da; perikardiuma, pulmoner artere ve sol ventriküle olabilir. Non-koroner sinüs valsalva anevrizmasının sol atriuma rüptüre olduğu ancak birkaç vaka rapor edilmiştir. Daha önce herhangi bir yakınması olmayan 68 yaşında erkek hastada ani gelişen göğüs ağrısı ve akciğer ödemi tablosu sonrası yapılan ekokardiyografi ve anjiografide non-koroner sinüs valsalva anevrizmasının sol atriuma rüptüre olduğu saptandı. Bu nadir durumu olgu sunumumuzda paylaşmak istedik.

Keywords

• Sinüs valsalva anevrizması, nonkoroner sinüs; sol atrial fistül

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