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KMID : 0368120010310010114
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Korean Circulation Journal
2001 Volume.31 No. 1 p.114 ~ p.118
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A Giant Aneurysm of the Sinus of Valsalva with Calcification
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류제영/Jay Young Rhew
정명호/강경태/이상현/박종철/안영근/김윤현/조정관/안병희/김상형/박종춘/강정채/Myung Ho Jeong/Kyung Tae Kang/Sang Hyun Lee/Jong Cheol Park/Young Keun Ahn/Yun Hyeon Kim/Jeong Gwan Cho/Byoung Hee Ahn/Sang Hyung Kim/Jong Chun Park/Jung Chaee Kang
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Abstract
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Aneurysms of sinus of Valsalva often remain undiagnosed until they rupture. A huge, heavily calcified unruptured aneurysm originating from the right sinus of Valsalva was detected incidentally in a 61-year-old man. Chest X-ray showed cardiomegaly and 10
㎝ sized huge calcified mass lesion around the cardiac shadow. Two-dimensional echocardiogrm revealed pericardial effusion with huge calcified mass compressing right ventricular outflow and color-flow Doppler echocardiogram visualized blood flow from
aortic root into aneurysm. Chest CT scan and MRI revealed a large thrombosed aneurysm arising from aortic root measuring 1010㎝. After pericardiocentesis cardiac catheterization was performed, which showed elevated right ventricular systolic pressure up
to 80㎜Hg. Aortic root angiogram revealed huge unruptured calcified aneurysm in the sinus of Valsalva arising from the right coronary sinus. The patient underwent surgical correction for the prevention of aneurysmal rupture and the relief of right
ventricular outflow obstruction.
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KEYWORD
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