Echocardiographic features of two cases of ruptured congenital aneurysm of Valsalva sinus with (case I) and without (case 2) a supracristal ventricular septal defect were studied before and after surgery by standard echocardiography, M-mode scan and twodimensional echocardiography. Discontinuity was observed in the echo from the aneurysm wall of the Valsalva sinus in case I with ruptured aneury...

A 57-year-old man was referred for exertional chest pain and a mediastinal mass. Computed tomographic angiography (CTA) revealed a huge aneurysm arising from the left sinus of Valsalva (Figure 1, Video I in the online-only Data Supplement). The opening of aneurysm was 18 mm in its largest diameter. Because the left coronary arteries were stretched and narrowed, the chest pain was considered to ...

A 52-year-old man came to the local emergency department with symptoms of heart failure and transient chest pain. Transthoracic echocardiography showed severe aortic regurgitation and a dilated ascending aorta. Aortic dissection was suspected, and he was transferred to our institution. Transesophageal echocardiography appeared to confirm the presence of a type A dissection. A mobile, linear str...

Aortic regurgitation developed in a 56 year old man with severe nephrotic syndrome. Cross sectional echocardiography showed bilateral aneurysms of the sinus of Valsalva and a bicuspid aortic valve. He died of intercurrent pneumonia. Postmortem examination confirmed the presence of the congenital aneurysms.

Methods Between June 1996 and November 2012, 21 patients who underwent aortic valve sparing for aortic root aneurysm were retrospectively reviewed. Mean age was 45 ± 16 years. 9 patients had Marfan syndrome and one patient had Takayasu arteritis. All patients had tricuspid aortic valve except one patient with bicuspid valve, and 15 patients showed moderate or severe degree of aortic regurgitati...

TWe present the case of a 64 years old male patient who had recently suffered an infective aortic valve endocarditis (Streptococcus agalactiae) complicated by embolic arthritis of the right hip. Initial echocardiography revealed moderate aortic insufficiency developed on a tricuspid aortic valve with a small vegetation (5 mm × 4 mm) on the left coronary cusp. Furthermore, an aneurysmal dilatati...

Fourteen days after aortic valve replacement a 60-year-old male patient presented with sternal infection. Subsequent transesophagal echocardiography revealed a huge and pulsatile pseudoaneurysm near the non-coronary sinus of Valsalva. To prevent potential rupture pseudoaneurysm was resected and aortic root replaced with a homograft. Under antibiotic therapy postoperative course was uneventful (...

Commissural dehiscence of the aortic valve is a rare cause of aortic regurgitation. We report a 53-year-old male who had progressive aortic regurgitation and aortic root dilatation. A flap or intimal tear of the proximal aorta was absent with echocardiography and computed tomography. Transesophageal echocardiography revealed prolapse of the right and left coronary cusps with no intimal flap in ...

A 37 year old Chinese man presenting with features of chest infection was diagnosed as having severe aortic regurgitation. Cross sectional echocardiography showed an intact right coronary sinus of Valsalva aneurysm, which protruded into the left ventricle. The changes in appearance of the aneurysm during the cardiac cycle were recorded by cross sectional echocardiography. The opening of the ane...

Cardiac magnetic resonance imaging (CMR) demonstrated a sinus of Valsalva aneurysm (SVA) with severe dilatation of the right coronary sinus in association with a congenital bicuspid aortic valve (BAV) and sub-aortic membrane. The SVA had not been apparent on echocardiography as the dilatation was outside standard echo image planes. On both CMR and echo, blood flow was eccentrically directed int...