João Silva Marques, MD, Manuel Gato Varela, MD, Ana G

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Presentation transcript:

Thrombosed Aneurysm of the Left Sinus of Valsalva Presenting as an Intramyocardial Mass João Silva Marques, MD, Manuel Gato Varela, MD, Ana G. Almeida, MD, PhD, Nuno Cortez Dias, MD, Fausto J. Pinto, MD, PhD, Luís Sargento, MD, Ana M. Palha, MD, Dulce Brito, MD, PhD, Mário G. Lopes, MD, PhD Journal of the American Society of Echocardiography Volume 23, Issue 11, Pages 1223.e1-1223.e3 (November 2010) DOI: 10.1016/j.echo.2010.04.019 Copyright © 2010 American Society of Echocardiography Terms and Conditions

Figure 1 Transthoracic echocardiogram showing a complex cystic mass in the interventricular septum (A). The mass was in close relation with the left sinus of Valsalva (B) and extended to the anterolateral mitral annulus (C). Journal of the American Society of Echocardiography 2010 23, 1223.e1-1223.e3DOI: (10.1016/j.echo.2010.04.019) Copyright © 2010 American Society of Echocardiography Terms and Conditions

Figure 2 (A) Computed tomography of the heart showing a calcified mass with hypodense content. (B) Aortic root angiogram, showing early phase filling of aorta with faint opacification of the ALSV (arrows). Ao, Aorta; LA, left atrium; LCA, left coronary artery; LV, left ventricle; RCA, right coronary artery; RV, right ventricle. Journal of the American Society of Echocardiography 2010 23, 1223.e1-1223.e3DOI: (10.1016/j.echo.2010.04.019) Copyright © 2010 American Society of Echocardiography Terms and Conditions

Figure 3 ALSV dissecting into left ventricle outflow tract, interventricular septum, and mitral annulus with transmural involvement. Journal of the American Society of Echocardiography 2010 23, 1223.e1-1223.e3DOI: (10.1016/j.echo.2010.04.019) Copyright © 2010 American Society of Echocardiography Terms and Conditions