A 71-yr-old man presented to our emergency department, with 12 hr of chest pain and dyspnea. A computed tomography scan demonstrated the presence of a 7.4 cm ascending aortic aneurysm, type A aortic dissection, in the distal ascending aorta extending into brachiocephalic and right common carotid arteries. A transthoracic echocardiogram showed type A dissection, with intimal flap prolapsing thro...

Ascending aortic dissection is often a catastrophic condition. Dissection into the commissures or into an aortic valve leaflet may lead to leaflet avulsion and valvular insufficiency due to a flail valve. We present an image report describing an important and life-threatening complication due to the movement of a partially dehisced intimal aortic flap into the left ventricle causing aortic valv...

We experienced a case of ruptured aneurysm of the sinus of Valsalva, and this resulted in simultaneous aortic and tricuspid valve endocarditis through a shunt. The echocardiography showed a ruptured sinus of Valsalva aneurysm to the right atrium with a shunt. The aortic non-coronary cusp was fibro-thickened with vegetation. Vegetations of the septal leaflet and the anterior leaflet of the tricu...

a 46 year old man had been undergone aortic valve replacement (avr) due to mechanical aortic valve endocarditis two month ago. he was referred to imam khomeini hospital because of dyspnea since two weeks ago. echocardiography showed the false aneurysm, with an area of flow beyond the lumen of the aorta. this patient underwent reoperation, the previously implanted aortic valve was removed, metic...

Sinus of Valsalva aneurysms appear to be rare. They occur most frequently in the right sinus of Valsalva (52%) and the noncoronary sinus (33%). More of these aneurysms originate from the right coronary cusp than from the noncoronary cusp. Surgical intervention is usually recommended when symptoms become evident. We report the case of a 34-year-old woman who presented with a congenital, ruptured...

Once presented in 2011 by Dayi SU et al. our case is a 30-year-old woman with Marfan syndrome who had undergone aortic valve replacement due to severe aortic regurgitation secondary to dilatation of the aortic root in 2000 and supracoronary aortic replacement due to Stanford type A dissection in 2002 with subsequent dilatation of sinus of Valsalva. When described by Dayi SU et al. the size of t...

A 69-yrs-old woman with anomalous origin of the right coronary artery from the opposite sinus of Valsalva (ACAOS) was diagnosed as having infective endocarditis affecting the aortic valve. Transthoracic echocardiography showed severe aortic stenosis and vegetations on the cusp of the aortic valve, which necessitated aortic valve replacement. Before the operation, computed tomography showed a ri...

Fig 2. Axial computed tomography scan with angiographic contrast obtained at the level of the aortic arch. A64-YEAR-OLD, 86-kg, 183-cm man with prostate cancer was evaluated in the authors’ preoperative assessment clinic before a scheduled prostatectomy. He denied cardiac symptoms and described only mild shortness of breath with heavy exertion. His past medical history was notable for an acute ...

The three Valsalva sinuses are hollow structures named after the corresponding aortic valve cusps. Valsalva sinus aneurysms are relatively rare (0.14-0.23%), congenital or acquired, the most common being congenital, most often affecting the right coronary sinus. They also may be secondary to bacterial endocarditis, syphilis, atherosclerosis, aortic dissection, Marfan syndrome or as a result of ...

A 36-year-old man was admitted to the hospital for heart failure symptoms. He had initially presented to the emergency room 3 months prior to admission for shortness of breath and a low-grade fever. At that time, he was diagnosed with possible pneumonia and started on antibiotics. Despite this, his symptoms progressed over the next few months. At presentation, he experienced dyspnea on exertion...