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Images in cardiology
Giant unruptured Sinus of Valsalva aneurysm: an unusual cause of aortic regurgitation
  1. Malgorzata Lutaaya,
  2. Rajinikanth Rajagopal,
  3. Ranjit S More
  1. Lancashire Cardiac Centre, Blackpool Teaching Hospitals, Blackpool, UK
  1. Correspondence to Dr Malgorzata Lutaaya, Lancashire Cardiac Centre, Blackpool Teaching Hospitals, Whinney Heys Road, Blackpool FY38NR, UK; dr.lutaaya{at}bfwhospitals.nhs.uk

https://doi.org/10.1136/heartjnl-2013-303758

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    Sinus of Valsalva aneurysm (SVA) is rare (0.15%–1.5% of cardiopulmonary bypass cases) and usually presents acutely following rupture. Unruptured SVA is usually asymptomatic, but can lead to symptoms secondary to compression of adjacent cardiac structures. Ruptured SVA can lead to aortocardiac shunts and heart failure. About 65%–85% of SVAs originate from the right sinus, 10%–30% from non-coronary sinus and less than 5% from left …

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    Footnotes

    • Contributors ML made the original diagnosis, prepared the images and helped with the manuscript. RR reviewed the literature and prepared the manuscript. RSM reviewed the original images, made the diagnosis and reviewed the manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.