Author + information
- Received February 23, 2009
- Accepted February 25, 2009
- Published online August 25, 2009.
- Vincent Michiels, MD⁎,
- Rodrigo Salgado, MD†,
- Christiaan Vrints, MD, PhD⁎ and
- Bernard P. Paelinck, MD, PhD⁎
This 75-year-old man with no medical history presented with complaints of palpitations and exertional dyspnea. Echocardiography showed a large saccular aneurysm of the right sinus of Valsalva protruding into the right ventricle (Online Video 1). There was no thrombus in the aneurysm. Valvular disease was absent, and left ventricular systolic function was preserved. Computed tomography angiography confirmed the presence of a large right coronary sinus aneurysm (66.5 mm × 48.0 mm) (Online Video 2) (AO = aorta; LV = left ventricle; RCA = right coronary artery; * indicates aneurysm). Coronary angiography showed normal coronary arteries. Surgical closure of the aneurysm was performed using a bovine pericardial patch with reimplantation of the right coronary artery.
Coronary sinus aneurysms are rare (estimated incidence 0.1% to 3.5% of all congenital cardiac anomalies) and most often involve the right coronary sinus. Surgical correction remains the treatment of choice.
- Received February 23, 2009.
- Accepted February 25, 2009.
- American College of Cardiology Foundation