Unruptured Aneurysm of the Right Sinus of Valsalva: A Case Report.

Accession number;99A0332726
Title;Unruptured Aneurysm of the Right Sinus of Valsalva: A Case Report.
Author; HORINOUCHI TAKASHI (Minami Kyushu Chuo National Hospital) KANO TATSUO (Minami Kyushu Chuo National Hospital) FUKUDA YOSHIO (Minami Kyushu Chuo National Hospital) KAMIKUBO TEIICHIRO (Minami Kyushu Chuo National Hospital) HIZUKURI KAORU (Minami Kyushu Chuo National Hospital) TANAKA HIDEKI (Minami Kyushu Chuo National Hospital) FUKUOKA YOSHIHIRO (Minami Kyushu Chuo National Hospital) KAWAHARADA TAKANOBU (Minami Kyushu Chuo National Hospital) NAKAMURA KAZUHIKO (Minami Kyushu Chuo National Hospital)
Journal Title;J Cardiol
Journal Code:Y0264A
ISSN:0914-5087
VOL.33;NO.2;PAGE.89-93(1999)
Figure&Table&Reference;FIG.6, REF.7
Pub. Country;Japan
Language;Japanese
Abstract;A previously healthy and asymptomatic 45-year-old woman was referred for evaluation of a heart murmur and an unusual dilatation in the aortic root. Transthoracic and transesophageal echocardiography, computed tomography, magnetic resonance imaging, and cardiac catheterization revealed an aneurysm with a maximum diameter of 6.0cm in the right sinus of Valsalva. Aortic regurgitation and stenosis at the right ventricle outflow tract were associated with the aneurysm. Surgery and histological study demonstrated that the sinus of Valsalva aneurysm was enormously dilated with idiopathic degenerative change in the aortic media. The aneurysm was tremendously large compared to any previously reported. Decrease in pressure load during diastole caused by aortic regurgitation probably resulted in the growth of this huge aneurysm without rupture. (author abst.)
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