JACC. Case reports · 2026
Rupture of a Nonaneurysmal Left Sinus of Valsalva Into the Pericardium.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Bidilean Sînziana-Alexandra, Keller Lukas, Ouda Ahmed, Rodriguez Cetina Biefer Héctor, Risteski Petar, Dzemali Omer, Weber Lucas, Linka André
Аннотация
BACKGROUND: Acute type A aortic syndrome involving a nonaneurysmal sinus of Valsalva (SOV) without predisposing factors is exceptionally rare. The contribution of remote blunt chest trauma (BCT) in delayed aortic root pathology and aortic regurgitation remains uncertain.
CASE: A 71-year-old patient presented with acute chest tightness and a large nontamponading pericardial effusion. Computed tomography angiography was inconclusive, but transesophageal echocardiography (TOE) identified rupture of a nonaneurysmal left SOV and left aortic cusp causing severe aortic regurgitation. Urgent surgical repair was successful. No clear etiology was identified, though a bicycle-related BCT 6 years earlier was considered contributory, albeit unproven.
DISCUSSION: This case highlights the rarity and diagnostic challenge of nonaneurysmal left SOV rupture without clear predisposing conditions.
TAKE-HOME MESSAGES: Transesophageal echocardiography is essential when computed tomography angiography is inconclusive for acute type A aortic syndrome. After BCT, comprehensive cardiac evaluation and long-term follow-up may identify delayed cardiac complications, even in patients without prior cardiac disease.
CASE: A 71-year-old patient presented with acute chest tightness and a large nontamponading pericardial effusion. Computed tomography angiography was inconclusive, but transesophageal echocardiography (TOE) identified rupture of a nonaneurysmal left SOV and left aortic cusp causing severe aortic regurgitation. Urgent surgical repair was successful. No clear etiology was identified, though a bicycle-related BCT 6 years earlier was considered contributory, albeit unproven.
DISCUSSION: This case highlights the rarity and diagnostic challenge of nonaneurysmal left SOV rupture without clear predisposing conditions.
TAKE-HOME MESSAGES: Transesophageal echocardiography is essential when computed tomography angiography is inconclusive for acute type A aortic syndrome. After BCT, comprehensive cardiac evaluation and long-term follow-up may identify delayed cardiac complications, even in patients without prior cardiac disease.