Sinus of Valsalva Pseudoaneurysm Complicating Infective Endocarditis Causing Right Ventricular Inflow Obstruction
Authors:
Open Access
- 29 May 2023
- journal article
- research article
- Published by Medknow in Journal of Cardiovascular Echography
- Vol. 33 (1) , 33-35
Abstract
Sinus of Valsalva pseudoaneurysm (SVpA) is a rare cause of right ventricular inflow obstruction. We report such a case presented with atrial flutter and cardiogenic shock caused by tricuspid valve obstruction by a narrow-necked right SVpA complicating aortic valve infective endocarditis demonstrated on transesophageal echocardiography and cardiac computed tomography. Despite restoration of sinus rhythm, the patient ran a fatal course due to aneurysmal rupture. We show the value of transesophageal echocardiography in evaluating unstable patients with cardiogenic shock, and the need of urgent surgery in selected patients to avoid a dismal outcome.Keywords
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