KMID : 0368120120420120869
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Korean Circulation Journal 2012 Volume.42 No. 12 p.869 ~ p.871
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Valsalva Aneurysm Filled with Thrombi Mimicking a Cardiac Tumor
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Lee Yasuharu
Mori Naoki Nakamura Daisuke Yoshimura Takahiro Taniike Masayuki Makino Nobuhiko Kato Hiroyasu Egami Yasuyuki Shutta Ryu Tanouchi Jun Yamada Yoshio Nishino Masami
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Abstract
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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.
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KEYWORD
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Sinus of Valsalva, Cardiac tumor, 2D echocardiography, Magnetic resonance imaging
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