Sinus of Valsalva aneurysm protruding into the mitral anterior leaflet causing dyspnea: A CARE-compliant case report

• Published in: Medicine (Baltimore) 2019-11, Vol.98 (48), p.e18169-e18169
• Main Authors: Wang, Baogang, Ma, Dashi, Qu, Limei, Cao, Dianbo, Man, Xiaxia
• Format: Article
• Language: English
• Subjects: Aortic Aneurysm - complications; Aortic Aneurysm - diagnostic imaging; Aortic Aneurysm - physiopathology; Aortic Aneurysm - surgery; Aortic Valve - diagnostic imaging; Aortic Valve - physiopathology; Aortic Valve Insufficiency - diagnosis; Aortic Valve Insufficiency - etiology; Aortic Valve Insufficiency - physiopathology; Aortic Valve Insufficiency - surgery; Clinical Case Report; Computed Tomography Angiography - methods; Dyspnea - diagnosis; Dyspnea - etiology; Dyspnea - physiopathology; Echocardiography - methods; Heart Valve Prosthesis Implantation - methods; Humans; Male; Middle Aged; Mitral Valve - diagnostic imaging; Mitral Valve - physiopathology; Mitral Valve Insufficiency - diagnosis; Mitral Valve Insufficiency - etiology; Mitral Valve Insufficiency - physiopathology; Mitral Valve Insufficiency - surgery; Sinus of Valsalva - diagnostic imaging; Sinus of Valsalva - physiopathology; Treatment Outcome; Vascular Surgical Procedures - methods
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000018169

Sinus of Valsalva aneurysm (SVA) protruding into the mitral anterior leaflet is an extremely rare clinical condition; herein, we present a case of unruptured noncoronary SVA protruding into the mitral anterior leaflet. A 46-year-old male was referred to hospital for exertional dyspnea. Transthoracic echocardiography (TTE) and coronary computed tomography angiography (CTA) suggested a noncoronary SVA protruding into the mitral anterior leaflet, causing mitral regurgitation and aortic insufficiency. The aneurysm was resected and the aortic and mitral valves were replaced with mechanical valves via a transaortic approach. Postoperative recovery was uneventful. A rare noncoronary SVA protruding into the mitral anterior leaflet can be diagnosed via TTE and CTA. Transaortic mitral surgery is feasible in patients with a dilated aortic annulus ring and mitral valve diseases.