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Ruptured Aneurysm of Valsalva Sinus with Pseudoaneurysm and Intratumoral Thrombus: A Rare Case Report
Yi Zhang1,2iD*, Jianhong Ren3
1Department of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
2Department of Anaesthesiology, Cheng Du Shangjin Nanfu Hospital, Chengdu, Sichuan, China
3Department of Anaesthesiology, Chengdu Shuangliu District Maternity Child Health Care Hospital, Chengdu, China
Corresponding Author: Yi Zhang ORCID iD
Address: Department of Anaesthesiology, West China Hospital, Sichuan University, No. 37, Guoxue Valley, Wuhou District, Chengdu, Sichuan, 610000, China.
Received date: 14 July 2025; Accepted date: 25 July 2025; Published date: 02 August 2025
Citation: Zhang Y, Ren J. Ruptured Aneurysm of Valsalva Sinus with Pseudoaneurysm and Intratumoral Thrombus: A Rare Case Report. Asp Biomed Clin Case Rep. 2025 Aug 02;8(2):184-88.
Copyright © 2025 Zhang Y, Ren J. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Sinus of Valsalva Pseudoaneurysm, Atypical Symptoms, Transesophageal Echocardiography, Thrombus, Case Report
Abstract
The rupture of a sinus of Valsalva aneurysm (SVA) is a rare occurrence in cardiovascular medicine; however, it often severely compromises patients' physiological functions and poses a life-threatening risk when it occurs [1]. Pseudoaneurysm of the sinus of Valsalva (SVpA) more frequently affects men [2]. However, we report a case of sinus of Valsalva pseudoaneurysm with thrombosis: a 30-year-old female, who experienced no physical discomfort in her daily life, accidentally discovered a ruptured aneurysm of the Valsalva sinus at the non-coronary sinus during a physical examination. The aneurysm had formed a large pseudoaneurysm, measuring 6.3 × 6.0 cm, located in the right atrioventricular sulcus. This pseudoaneurysm exerted significant pressure on the right atrium, and much of it had been filled with thrombus.