El Mathari Sulayman, van der Bom Teun, Bouma Berto, Driessen Antoine, Kluin Jolanda
Department of Cardiothoracic Surgery, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Department of Cardiology, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Radiol Case Rep. 2021 Nov 25;17(2):306-309. doi: 10.1016/j.radcr.2021.10.063. eCollection 2022 Feb.
Sinus of Valsalva aneurysms are abnormal bulges of the aortic root caused by a tissue deficiency resulting in an enlargement of the aortic root in the area between the aortic annulus and the sinotubular junction. Frequently, sinus of Valsalva aneurysms are asymptomatic. However, sinus of Valsalva aneurysms can also be potentially fatal due to their risk of rupture. We present a case of a 49-year old asymptomatic male patient with a rare image of a sinus of Valsalva aneurysm of the non-coronary cusp which was initially mistaken for a right ventricular thrombus. Surgical repair of the sinus of Valsalva aneurysm was eventually achieved by a valve sparing root replacement and the patient was discharged 7 days after surgery. This case report shows that sinus of Valsalva aneurysms are vulnerable to misdiagnosis when it is not initially suspected. Because of the potential fatality of this phenomenon we would like to underline the necessary vigilance in the diagnostic process, as sinus of Valsalva aneurysms can be missed when the physician is not aware of this potential rare diagnosis.
瓦氏窦瘤是主动脉根部的异常膨出，由组织缺损引起，导致主动脉根部在主动脉瓣环和窦管交界之间的区域扩大。通常，瓦氏窦瘤无症状。然而，瓦氏窦瘤也可能因破裂风险而致命。我们报告一例49岁无症状男性患者，其非冠状动脉瓣叶的瓦氏窦瘤影像罕见，最初被误诊为右心室血栓。最终通过保留瓣膜的根部置换术成功修复了瓦氏窦瘤，患者术后7天出院。本病例报告表明，当最初未怀疑时，瓦氏窦瘤易被误诊。由于这种现象的潜在致命性，我们想强调在诊断过程中必须保持警惕，因为当医生未意识到这种潜在的罕见诊断时，瓦氏窦瘤可能会被漏诊。
