Spontaneous rupture of sinus of valsalva aneurysm presenting as perivalvular hematoma

Abstract

Acute rupture of sinus of Valsalva often presents as an acute emergency with significant hemodynamic compromise whereas contained rupture of sinus of Valsalva with a perivalvular hematoma formation is rarely seen. We describe the case of a 63-year-old male who presented with acute shortness of breath and was found to have rupture of sinus of Valsalva aneurysm (SVA) with a perivalvular hematoma and severe aortic regurgitation. We also review the presentation, diagnosis, and management of SVAs.

Giant Aneurysm of The Non-Coronary Sinus of Valsalva

“…The estimated incidence of sinus of Valsalva aneurysms is 0.09% based on autopsy series [ 2 ] . The incidence is increased in case of congenital etiology and ranges between 0.1-3.5% [ 5 ] . The pathology affects the right coronary sinus, non-coronary sinus and the left coronary sinus with a decreasing frequency.…”

“…Medical treatment is initiated for the stabilization of the patients with rupture and heart failure until surgery. Patients should be rapidly evaluated for treatment in case of aneurysm rupture, since rupture may lead to acute onset congestive heart failure due to left to right shunt [ 5 ] . Surgery is also indicated in case of ventricular septal defect or aortic regurgitation.…”