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KMID : 0368120120420120869
Korean Circulation Journal
2012 Volume.42 No. 12 p.869 ~ p.871
Valsalva Aneurysm Filled with Thrombi Mimicking a Cardiac Tumor
Lee Yasuharu

Mori Naoki
Nakamura Daisuke
Yoshimura Takahiro
Taniike Masayuki
Makino Nobuhiko
Kato Hiroyasu
Egami Yasuyuki
Shutta Ryu
Tanouchi Jun
Yamada Yoshio
Nishino Masami
Abstract
A Valsalva aneurysm filled with thrombi can be difficult to diagnose, because it mimics a cardiac tumor. Both cardiac magnetic resonance imaging (MRI) and transesophageal echocardiogram (TEE) were performed on a patient who showed a low-echoic mass located between the atrial septum and the non-coronary sinus. Based on MRI findings allowing tissue characterization and the accurate location of the mass and the TEE findings of an irregular surface of the mass and a partial defect in the edge of the non-coronary sinus, we diagnosed the mass as a thrombosed Valsalva aneurysm that had perforated the inter-atrial septum. The operative findings coincided with the preoperative diagnosis. Both MRI and TEE are useful for diagnosing this condition.
KEYWORD
Sinus of Valsalva, Cardiac tumor, 2D echocardiography, Magnetic resonance imaging
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