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Giant Aneurysm of Aortic Right Coronary Sinus: Diagnostic Doubts Related to Presentation of Valsalva Sinus Aneurysm in Transthoracic Echocardiography
Author(s) -
WierzbowskaDrabik Karina,
Kasprzak Jarosław D.,
Szymczyk Konrad,
Szymczyk Ewa,
WdowiakOkrojek Katarzyna,
Lipiec Piotr
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12950
Subject(s) - aneurysm , medicine , ventricle , presentation (obstetrics) , sinus (botany) , radiology , coronary sinus , cardiology , botany , biology , genus
Mini‐Abstract We present the images of giant aneurysm of Valsalva sinus ( SVA ) in 79‐year‐old woman that was not diagnosed in first transthoracic echocardiographic study, because of problematic presentation suggesting defect of aortic wall or additional structure inside right ventricle. Although the majority of aneurysm of Valsalva sinuses are diagnosed by echocardiography, our case illustrates diagnostic doubts evoked by big aneurysm which seemed to fill completely right ventricular cavity. Nevertheless, repeated detailed examination with support of 3D technique and verification by computed tomography elucidated the correct diagnosis. On grounds of high surgical risk, the patient was classified for treatment with losartan and echocardiographic monitoring.