Ruptured Right Sinus of Valsalva Aneurysm Caused by Suspected Takayasu's Arteritis

Abstract

A sinus of Valsalva aneurysm (SVA) is a rare aortic anomaly. The most common complication is a rupture into the right ventricle and atrium. An SVA rupture into the left ventricle is a rare event. A 42-year-old man visited an outpatient clinic due to worsening exertional dyspnea. A loud to-and-fro heart murmur was detected, and echocardiography revealed a right SVA that had ruptured into the left ventricle, inducing acute heart failure. Computed tomography imaging allowed us to determine that the right SVA had been caused by asymptomatic Takayasu's arteritis. The patient was treated with prednisolone and the right SVA rupture was surgically repaired.

CSI position statement on management of heart failure in India

“…TA can rarely present as postpartum cardiomyopathy, 336 Acute Myocardial Infarction with Left Ventricular Failure, 337 Ruptured Right Sinus of Valsalva Aneurysms 338 …”

Echocardiographic evaluation of aorta to right atrial fistula secondary to ruptured sinus of valsalva aneurysm

“…[ 4 ] Trauma, infection, and inflammatory disease can cause these aneurysms; however, the most common etiology is a congenital defect in the aortic media. [ 4 5 ] The most common location for an aortacardiac fistula after SVA rupture is into the right atrium, right ventricle, or both. In contrast, a rupture in the left atrium from a noncoronary or left SVA is rare.…”