Thrombosed saccular aneurysm of a sinus of Valsalva: unusual cause of a mediastinal mass.

نویسندگان

  • P G Reid
  • J A Goudevenos
  • C J Hilton
چکیده

A 33 year old man presented with a short history of slight fever and chest pain that was worse on inspiration. An electrocardiogram was consistent with pericarditis. Chest radiography, echocardiography, and computed tomography suggested the presence of a mediastinal tumour. At operation the mass was found to be attached to the right sinus of Valsalva and proved to be a large saccular aneurysm full of laminated thrombus.

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Sinus of valsalva aneurysm, is a rare congenital defect and the diagnosis is usually made after it ruptures. The anomaly often involves the right coronary sinus and is less frequent in the noncoronary sinus. The rupture of the left sinus of valsalva into the pulmonary artery is extremely rare. So far, few cases with ruptured left sinus of valsalva have been reported. We are reporting a ruptur...

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عنوان ژورنال:
  • British heart journal

دوره 63 3  شماره 

صفحات  -

تاریخ انتشار 1990