Sinus of Valsalva aneurysm presenting with chest pain.

Authors :: Abohelwa M
Elmassry M
Whisenant T
Thongtan T
Sethi P
Source :: Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2020 Dec 14; Vol. 34 (2), pp. 283-285. Date of Electronic Publication: 2020 Dec 14.
Publication Year :: 2020
Abstract: Sinus of Valsalva aneurysm is a rare aortic root defect that can be dangerous due to its serious complications. It is defined as dilatation of one or more of the aortic valve sinuses. It is usually asymptomatic, and patients rarely present with chest pain, arrhythmias, or heart failure. We report a 29-year-old man who presented with atypical chest pain of 8 months with a normal cardiovascular exam. His laboratory work was unremarkable. Transthoracic echocardiography and transesophageal echocardiography showed a calcified sinus of Valsalva aneurysm arising from the noncoronary cusp. The patient underwent aneurysm repair surgery with no complications, and his chest pain resolved.<br /> (© 2020 Baylor University Medical Center.)