Rupture of sinus of Valsalva aneurysm in a young adult male: A case report

Özkan Kömürcü¹, Cem Atik², Metehan Özen³, Hatice Güldal⁴, Mustafa Boğan⁵

Keywords: Acute coronary syndrome, Rupture, Sinus of Valsalva aneurysm

DOI: 10.32677/yjm.v3i1.4410

DOI URL: https://doi.org/10.32677/yjm.v3i1.4410

Publish Date: 11-05-2024

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Pages: 57 - 59

Views: 4

Downloads: 5

Citation: 0

Author Affiliation:

¹Specialist, Primary Health Care Corporation, Umm Salal Health Center, Umm Salal Muhammed/Qatar
²Consultant, Department of Cardiovascular Surgery, Private Yeni Hayat Hospital, Osmaniye
³Consultant
⁴Resident, Department of Emergency, Medicine Faculty
⁵Consultant, Department of Emergency, School of Medicine, Düzce University, Düzce, Turkey

Abstract

Rupture of the sinus of Valsalva aneurysm (SVA) is a surgical emergency. It can be fatal if not treated properly and on time. In this report, we present a 39-year-old male patient with no known disease who was admitted to the emergency department with complaints of pressure-such as chest pain, chest tightness, and an inability to breathe easily after a heavy meal at night. Thoracic and abdominal computed tomography angiography was performed to better evaluate the vascular structures; the ascending aorta diameter was 71 mm (wider than normal). Hemorrhagic fluid was observed in the pericardial space and paracardiac recesses. The preliminary diagnosis was a rupture of the right SVA, and emergency surgery was performed. The posterior aorta was found to have ruptured at the level of the right sinus of Valsalva, and anastomosis was performed on the torn portion. The patient was extubated 8 h after surgery. On the 7th post-operative day, transthoracic echocardiography was within normal limits, and he was discharged from the hospital on the 8th day in good condition with stable vital signs.

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