Case Report: A Giant Left-Ventricular Intramural Pseudoaneurysm Arise From Ruptured Left Sinus of Valsalva Aneurysm

• Published in: Frontiers in cardiovascular medicine Vol. 8; p. 753627
• Main Authors: Hua, Minghui, Gao, Yufan, Li, Jianhui, Tong, Fang, Li, Ximing, Zhang, Hong
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 09.12.2021
• Subjects: cardiac magnetic resonance; Cardiovascular Medicine; computed tomography; echocardiogram; sinus of Valsalva aneurysm; ventricular intramural pseudoaneurysm; computed tomography; sinus of Valsalva aneurysm; ventricular intramural pseudoaneurysm; cardiac magnetic resonance; echocardiogram
• ISSN: 2297-055X; 2297-055X
• DOI: 10.3389/fcvm.2021.753627

In this report, we present a case study of an extremely rare left sinus Valsalva aneurysm (SVA) rupture into the left-ventricular myocardium. Acute ozone inhalation and long-term hypertension are possible contributors to the condition. Utilizing multimodal cardiovascular imaging techniques [echocardiogram, computed tomography (CT), and cardiac magnetic resonance (CMR)], a large, left-ventricular, intramural pseudoaneurysm (IPA) arising from the ruptured left SVA, was clearly observed anatomically and functionally. Subsequently, our patient underwent patch repair and valvoplasty which offered an excellent prognosis. This report describes the manifestation of the ruptured left SVA and its possible etiology. This case also emphasizes the need for multimodal imaging for subsequent surgical repair.