Rupture of aneurysm of noncoronary Valsalva sinus as a cause of right-sided heart failure

Abstract

Aneurysm of Valsalva sinus is a rare disease of the coronary sinus, course of which may range from asymptomatic to severe heart failure with significant left-to-right shunt in the case of its rupture. In this case, we describe an unusual case of right heart failure of a 19-year old man, who underwent surgery for aortic coarctation and patent ductus arteriosus as a child.

We diagnosed the defect of noncoronary Valsalva sinus with significant left-to-right shunt, which was closed by pericardium.

Keywords

• aneurysm of Valsalva sinus
• heart failure
• diagnosis
• therapy