Open AccessUn-ruptured Non-Coronary Sinus of Valsalva Aneurysm with Complete Heart Block
Author(s) -
Syed Jawad Hussain,
Faisal Qadir,
Pir Sheeraz,
Muhammad Asad Bilal Awan
Publication year - 2017
Publication title -
pakistan journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.316
H-Index - 30
eISSN - 1682-024X
pISSN - 1681-715X
DOI - 10.12669/pjms.336.13285
Subject(s) - medicine , sinus (botany) , aneurysm , asymptomatic , cardiology , atrioventricular block , heart block , coronary sinus , dissection (medical) , aortic sinus , surgery , electrocardiography , artery , botany , biology , genus
Sinus of Valsalva aneurysm is a rare cardiac anomaly with wide spectrum of clinical presentation ranging from asymptomatic state to dreadful complications due to compression of vital surrounding structures or aortic dissection. There are only few reported cases of sinus of Valsalva aneurysm presented with cardiac arrhythmias including complete heart block. We herein, present a case of a 50 year male who presented with complete heart block. A large noncoronary sinus of Valsalva aneurysm compressing the surrounding atrioventricular junctional tissue was detected incidentally during echocardiographic study, which was considered to be the cause of patient's complete heart block. This case report implies the importance of clinical suspicion of secondary causes like sinus of Valsalva aneurysm in patients with complete heart block and utility of echocardiography in the evaluation of heart block patients.