Timely CT-Guided Diagnosis and Surgical Management of Sinus of Valsalva Aneurysm: A Case Series Highlighting Promising Outcomes
Abstract
A sinus of Valsalva aneurysm (SOVA) is a rare cardiac condition characterized by an abnormal dilation of the aortic root between the aortic valve annulus and the sinotubular junction. A ruptured SOVA can be identified through various diagnostic tools, including echocardiography, cardiac computed tomography (CT), and cardiac magnetic resonance imaging.
Here, we present a case series of three patients with SOVA who were promptly diagnosed via CT and successfully managed, leading to significant symptom relief for the patients. Each case in this series presented unique clinical features: the first, an asymptomatic 51-yearold female with two saccular aneurysms incidentally found during preoperative evaluation; the second, a 36-year-old male with atypical chest pain and a large ventricular septal defect associated with right coronary cusp prolapse and mild aortic regurgitation; and the third, a 24-year-old male with severe tricuspid regurgitation due to a ruptured aneurysm from the rightcoronary sinus, accompanied by a bicuspid aortic valve and high-origin right coronary artery. All patients underwent successful surgical repair with complete resolution of symptoms, no postoperative complications, and normalized cardiac function confirmed on follow-up imaging.
This case series aims to highlight the diverse clinical presentations, timely diagnosis, and successful management of SOVA, a rare but potentially serious cardiac condition.
How strong is the evidence?
Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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