Ruptured aneurysm of the right sinus of valsalva associated with a ventricular septal defect and an anomalous coronary artery

• Published in: Texas Heart Institute journal Vol. 32; no. 4; pp. 555 - 559
• Main Authors: Feldman, Dmitriy N, Gade, Christopher L, Roman, Mary J
• Format: Journal Article
• Language: English
• Published: United States Published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute 2005
• Subjects: Adult; Aortic Rupture - complications; Aortic Rupture - diagnosis; Aortic Rupture - surgery; Coronary Angiography; Coronary Anomalies; Coronary Vessel Anomalies - complications; Coronary Vessel Anomalies - diagnosis; Echocardiography, Transesophageal; Follow-Up Studies; Heart Septal Defects - complications; Heart Septal Defects - diagnosis; Humans; Male; Sinus of Valsalva; Vascular Surgical Procedures
• ISSN: 0730-2347

Aneurysms of the sinus of Valsalva are extremely rare. Ruptured aneurysms of the sinus of Valsalva are frequently associated with other congenital defects, particularly with ventricular septal defect, aortic valve regurgitation, and bicuspid aortic valve. We describe the case of a 26-year-old man who had a ruptured aneurysm of the right coronary sinus, a ventricular septal defect, and an anomalous origin of the right coronary artery. Successful surgical correction of the aneurysm and ventricular septal defect was performed with patch repair and aortic valve replacement. A review of the English-language medical literature revealed only 1 other case of a sinus of Valsalva aneurysm associated with a ventricular septal defect and an anomalous coronary artery. Previously published reports of the coexistence of a single coronary artery with a sinus of Valsalva aneurysm or with a ventricular septal defect, and their management, are discussed herein.