Ruptured Right Sinus of Valsalva Aneurysm Caused by Suspected Takayasu's Arteritis

  • Narumi Taro
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
  • Watanabe Tetsu
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
  • Iwayama Tadateru
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
  • Ichikawa Kazunobu
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
  • Wanezaki Masahiro
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
  • Nishiyama Satoshi
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
  • Sadahiro Mitsuaki
    Department of Cardiovascular, Thoracic, and Pediatric Surgery, Yamagata University School of Medicine, Japan
  • Kubota Isao
    Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan

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抄録

A sinus of Valsalva aneurysm (SVA) is a rare aortic anomaly. The most common complication is a rupture into the right ventricle and atrium. An SVA rupture into the left ventricle is a rare event. A 42-year-old man visited an outpatient clinic due to worsening exertional dyspnea. A loud to-and-fro heart murmur was detected, and echocardiography revealed a right SVA that had ruptured into the left ventricle, inducing acute heart failure. Computed tomography imaging allowed us to determine that the right SVA had been caused by asymptomatic Takayasu's arteritis. The patient was treated with prednisolone and the right SVA rupture was surgically repaired.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 55 (10), 1305-1308, 2016

    一般社団法人 日本内科学会

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