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Aortic sinus aneurysm rupture into the right atrium in a 29‐year‐old patient
Author(s) -
Sun Zhixia,
Guo Jiantao,
Wang Hui,
Cui Tingting
Publication year - 2019
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22694
Subject(s) - medicine , asymptomatic , right atrium , aneurysm , lesion , aortic sinus , radiology , sinus (botany) , atrium (architecture) , cardiology , surgery , aorta , atrial fibrillation , botany , biology , genus
A 29‐year‐old man presented with chest tightness and shortness of breath. Physical examination showed jugular venous distention. Echocardiography showed a large saccular anechoic structure in the right atrium, swinging with the cardiac cycle. The operator initially mistook the lesion for a right atrial cystic tumor; however, color Doppler imaging showed abundant, high‐velocity blood flow signals, leading to the diagnosis of giant aortic sinus rupture into the right atrium. Aortic sinus aneurysm is a rare and usually asymptomatic lesion. However, rupture leads to chest tightness and dyspnea, suggesting left or right heart failure. Surgery is the primary treatment.