Case for 4/2/2007

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CTA: 3D VOLUME RENDERED

Diagnosis:  GIANT RIGHT CORONARY SINUS OF VALSALVA ANEURYSM

45 y/o FEMALE

Discussion:

Coronary sinus aneurysms are caused by weakening of the annulus with progressive enlargement of the sinus of valsalva. They are more common on the the right side. The aneurysm may commonly rupture in to the pericardium, ventricle and atria, creating a fistulae.  Complications carry very high morbidity and mortality. Cardiac CTA is an excellent non-invasive test to diagnose and follow sinus of valsalva aneurysms.

The case was contributed by: Dr. Antonietta Villani, Dr. Henry Hopkins and Dr. Fransisco Tortoledo, from the Clinica la Floresta, Caracas, Venezuela

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