Valsalva Aneurysm of Right Sinus: A Case Report and Review of Literature
Edin Begic 1,2 Zorica Mladenovic3 Buena Aziri2 Zorica Hondo4 Mirad Hujdur 4
1 Department of Cardiology, General Hospital “Prim. Dr. Abdulah Nakas”, Sarajevo, Bosnia and Herzegovina
2 Department of Pharmacology, Sarajevo Medical School, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina
3 Department of Cardiology. Military Medical Academy, University of Defense, Belgrade, Serbia
4 Department of Cardiology. Clinic for heart, blood vessels and rheumatism, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Corresponding Author: Edin Begic MD, MA, PhD. Department of Cardiology, General Hospital “Prim. Dr. Abdulah Nakas”, Sarajevo, Bosnia and Herzegovina. E-mail: begic.edin@ssst.edu.ba; Phone: +38761303375; ORCID ID: https://orcid.org/0000-0001-6842-262X
Pages: 35-40 / Published online: 25 Jul 2024
Cite this article: Begic E, Mladenovic Z, Aziri B, Hondo Z, Hujdur M. Valsalva Aneurysm of Right Sinus: A Case Report and Review of Literature, Sar Med J. 2024; 1(1): Online ahead of print. 
DOI: 10.70119/0009-24
Original submission: 23 March 2024; Revised submission: 15 June 2024; Accepted: 21 July 2024
Abstract
In this case report, we describe the diagnostic modality of sinus of Valsalva aneurysm (SOVA) in combination with congenital cardiac defect, aortic valve involvement, and conduction abnormality in a 19-year-old patient. Aim of article was to understand the importance of clinicians being cautious about SOVA presenting in young patients, despite cases being rare, and that SOVA requires a thorough SOVA diagnostic approach. We further provide a review of literature highlighting and comparing the treatment options for both unruptured and ruptured SOVAs. The patient presented for examination due to tachycardia and palpitations. A murmur was heard, and the patient was found to have an atrioventricular nodal reentry tachycardia. Echocardiographic evaluation, magnetic resonance imaging, and computed tomography angiography confirmed an aneurysmally dilated aortic root, aortic regurgitation, and ventricular septal defect. Surgical intervention was indicated; however, the patient refused to undergo surgery.
Keywords: Sinus of Valsalva, Aneurysm, Treatment, Cardiac surgical procedures.
Learning Objectives:
- To understand the importance of clinicians being cautious about SOVA presenting in young patients, despite cases being rare
- To understand the SOVA diagnostic approach
- To understand to that timely intervention for SOVA in combination with VSD is imperative, due to likelihood of rupture
- To understand the adequate therapeutic modality for sinus of Valsalva aneurysm coexisting with congenital cardiac defects, aortic valve involvement, or conduction abnormalities
