Mirdamadi Ahmad, Mirmohammadsadeghi Mohsen, Marashinia Farzad, Nourbakhsh Mohsen
Assistant Professor, Department of Cardiology, School of Medicine, Najafabad Branch, Islamic Azad University, Isfahan, Iran.
ARYA Atheroscler. 2012 Fall;8(3):164-6.
Sinus of Valsalva aneurysm (SVA) may be congenital or acquired. They could mimic ventricular tumor symptoms and cause signs and symptoms of ventricular outflow tract obstruction. They may also involve the conduction system and cause palpitations or syncopal episodes. Both transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) serve as quick, noninvasive methods to provide information on size and location of aneurysmal dilatation and cardiac chamber involvement. These methods can identify any associated anomalies or complications. This study presents a patient with unruptured SVA.
A 46-year-old man, who had been suffering from nonspecific symptoms such as exercise intolerance and weakness for a few months, referred to our clinic in Isfahan (Iran). In TTE, a large mass was observed in the right ventricle. SVA was suspected after meticulous probing. This diagnosis was confirmed by TEE and computed tomography angiography. At open heart surgery, an SVA with a lot of clots it was removed.
SVA must be kept in mind when a tumor-like mass is observed in the right ventricle. Detailed evaluation would thus be necessary to rule out SVA and to prevent wrong diagnosis and treatment that can sometimes be catastrophic.
瓦氏窦瘤（SVA）可能是先天性的或后天获得的。它们可能模仿心室肿瘤的症状，并引起心室流出道梗阻的体征和症状。它们也可能累及传导系统并导致心悸或晕厥发作。经胸超声心动图（TTE）和经食管超声心动图（TEE）都是快速、无创的方法，可提供有关瘤样扩张的大小和位置以及心脏腔室受累情况的信息。这些方法可以识别任何相关的异常或并发症。本研究报告了一名未破裂SVA患者。
一名46岁男性，几个月来一直有运动不耐受和虚弱等非特异性症状，转诊至我们位于伊朗伊斯法罕的诊所。在TTE检查中，右心室发现一个大肿块。经过仔细探查后怀疑是SVA。TEE和计算机断层血管造影证实了这一诊断。在心脏直视手术中，切除了一个有大量血栓的SVA。
当在右心室观察到肿瘤样肿块时，必须考虑到SVA。因此，有必要进行详细评估以排除SVA，并防止有时可能带来灾难性后果的错误诊断和治疗。
