Home  |  Journals  |  Conferences |   Membership  |   FAQ's Join  |  Contact  |   Sitemap  |             

International Journal of Clinical & Medical Images

ISSN: 2376-0249
Open Access
 
 
 

Sinus of Valsalva Aneurysm by Magnetic Resonance Imaging

Other Art Works

Image 01 Image 02
Image 03 Image 04
Image 05 Image 06
Image 07 Image 08
Image 09 Image 10
Image 11 Image 12
Image 13 Image 14
Image 15 Image 16
Image 17 Image 18
Image 19 Image 20
Image 21 Image 22
Image 23 Image 24
Image 25 Image 26
Image 27 Image 28
Image 29 Image 30

A 28 year-old asymptomatic female with no significant medical or family history received a transthoracic echocardiogram for “practice” while accompanying her mother to a cardiologist’s office. She was found to have a dilated aortic root (Figure 1) measuring 4.1 cm at the Sinuses of Valsalva, with normal left ventricular function and no aortic regurgitation. Cardiac Magnetic Resonance Steady State Free Precession cine imaging revealed an aneurysm of the left sinus of Valsalva measuring 2.0×1.9 cm (Figure 2), but the location of the coronary ostium in relation to the aneurysm was difficult to determine. Free breathing 3D navigator guided technique was performed for the delineation of whole heart coronary anatomy without contrast at high spatial resolution, with a voxel size of 0.55 x 0.55 x 0.80 mm3. A curved linear reformat (Figure 3) revealed that the left main coronary (arrow) originated from the aneurysm wall (asterisk). The normal right coronary artery (arrowhead) is also shown. Surgical patch repair would have necessitated left main coronary excision and re-implantation, so the decision was made to forego surgery and follow the patient with periodic observation. Patients diagnosed with sinus of Valsalva aneurysms commonly present in the context of symptomatic aneurysm rupture into an adjacent cardiac chamber [1].

 
 
© 2008-2013 OMICS Group - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version