Acute Heart Failure due to Noncoronary Sinus of Valsalva Aneurysm with Rupture into the Right Atrium

Takaaki Samura	Yasushi Tsutsumi	Osamu Monta
Satoshi Numata	Sachiko Yamazaki	Hisazumi Uenaka
Takashi Shirakawa	Syusaku Maeda and Hirokazu Ohashi

（Department of Cardiovascular Surgery, Fukui CardioVascular Center, Fukui, Japan）

A 65-year-old woman was referred for progressive dyspnea and leg edema. Physical examination revealed a continuous murmur along the right sternal border. Enhanced computed tomography showed an aneurysm that extended to the right atrium. Aortic angiography confirmed the rupture of the valsalva aneurysm into the right atrium. The patient underwent emergency surgery to close the aneurysm ostium and suture closure of the right atrial fistula. The patient’s postoperative course was uneventful.

 

Jpn. J. Cardiovasc. Surg. 44:144-147（2015）

Keywords：valsalva aneurysm;acute heart failure;patch closure