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European Journal of Echocardiography Advance Access published online on May 13, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep053
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Unusual cause of rapidly progressive right-sided heart failure: aortic sinus of Valsalva aneurysm causing ball valve obstruction of the tricuspid valve

Shiv Bagga1,*, Prashant N. Mohite2, Sreenivas Reddy1, Shyam K. Thingnam2 and Kewal K. Talwar1

1 Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
2 Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India

Received 26 January 2009; accepted after revision 16 April 2009.

* Corresponding author. Tel: +91 172 2746018/2756565/2747585, Fax: +91 172 2744401/2745078. E-mail address: shivbagga{at}gmail.com


  Abstract

A rare presentation with rapidly progressive right heart failure due to tricuspid inflow obstruction (simulating right-sided valvular heart disease) caused by a non-coronary cusp sinus of Valsalva aneurysm with small perforation is reported. The aneurysm was causing ball valve obstruction at the tricuspid valve, leading to dilated right atrium and back pressure changes which were relieved after successful aneurysectomy.

Keywords: Sinus of Valsalva aneurysm (SAV); Two-dimensional echocardiography


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