Unruptured congenital aneurysm of the left sinus of Valsalva presenting as acute right ventricular failure

• Published in: Chest Vol. 101; no. 2; p. 578
• Main Authors: D'Silva, S A, Dalvi, B V, Lokhandwala, Y Y, Kale, P A, Tendolkar, A G
• Format: Journal Article
• Language: English
• Published: United States 01.02.1992
• Subjects: Acute Disease; Adult; Aortic Aneurysm - complications; Aortic Aneurysm - congenital; Aortic Aneurysm - diagnosis; Aortic Aneurysm - diagnostic imaging; Humans; Male; Radiography; Sinus of Valsalva - diagnostic imaging; Ventricular Outflow Obstruction - diagnosis; Ventricular Outflow Obstruction - diagnostic imaging; Ventricular Outflow Obstruction - etiology
• ISSN: 0012-3692
• DOI: 10.1378/chest.101.2.578

A patient with unruptured congenital aneurysm of the left coronary sinus of Valsalva presented with acute right-sided heart failure due to right ventricular outflow tract obstruction. The mechanism for such an acute presentation may have been a sudden increase in the size of the aneurysm. The surgical importance of this lesion is the combined aortocameral approach which is seldom required for correction of such aneurysms.