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Case Series

Published: Jul 07, 2025 | DOI: 10.24911/ejmcr.9-2067

Timely CT-Guided Diagnosis and Surgical Management of Sinus of Valsalva Aneurysm: A Case Series Highlighting Promising Outcomes

Authors: Lakkaraju Vijay Kumar , Rallabandi Suresh Kumar

Article Info

Authors

Lakkaraju Vijay Kumar

Medicover Hospital, Hitech City, Hyderabad, India

Rallabandi Suresh Kumar

Medicover Hospital, Hitech City, Hyderabad, India

Publication History

Received: April 03, 2025

Accepted: May 18, 2025

Published: July 07, 2025

Abstract

A sinus of Valsalva aneurysm (SOVA) is a rare cardiac condition characterized by an abnormal dilation of the aortic root between the aortic valve annulus and the sinotubular junction. A ruptured SOVA can be identified through various diagnostic tools, including echocardiography, cardiac computed tomography (CT), and cardiac magnetic resonance imaging.

Here, we present a case series of three patients with SOVA who were promptly diagnosed via CT and successfully managed, leading to significant symptom relief for the patients. Each case in this series presented unique clinical features: the first, an asymptomatic 51-yearold female with two saccular aneurysms incidentally found during preoperative evaluation; the second, a 36-year-old male with atypical chest pain and a large ventricular septal defect associated with right coronary cusp prolapse and mild aortic regurgitation; and the third, a 24-year-old male with severe tricuspid regurgitation due to a ruptured aneurysm from the right
coronary sinus, accompanied by a bicuspid aortic valve and high-origin right coronary artery. All patients underwent successful surgical repair with complete resolution of symptoms, no postoperative complications, and normalized cardiac function confirmed on follow-up imaging.

This case series aims to highlight the diverse clinical presentations, timely diagnosis, and successful management of SOVA, a rare but potentially serious cardiac condition.

Keywords: Sinus of Valsalva aneurysm, Case reports, Computed tomography, Aortic valve annulus, Sino-tubular junction.

Pubmed Style

Lakkaraju Vijay Kumar, Rallabandi Suresh Kumar. Timely CT-Guided Diagnosis and Surgical Management of Sinus of Valsalva Aneurysm: A Case Series Highlighting Promising Outcomes. EJMCR. 2025; 07 (July 2025): -. doi:10.24911/ejmcr.9-2067

Web Style

Lakkaraju Vijay Kumar, Rallabandi Suresh Kumar. Timely CT-Guided Diagnosis and Surgical Management of Sinus of Valsalva Aneurysm: A Case Series Highlighting Promising Outcomes. https://ejmcr.com/index.php/articles/2067 [Access: July 17, 2025]. doi:10.24911/ejmcr.9-2067

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Harvard Style

Lakkaraju Vijay Kumar, Rallabandi Suresh Kumar (2025) Timely CT-Guided Diagnosis and Surgical Management of Sinus of Valsalva Aneurysm: A Case Series Highlighting Promising Outcomes. EJMCR, 07 (July 2025): -. doi:10.24911/ejmcr.9-2067

Chicago Style

Lakkaraju Vijay Kumar, Rallabandi Suresh Kumar. "Timely CT-Guided Diagnosis and Surgical Management of Sinus of Valsalva Aneurysm: A Case Series Highlighting Promising Outcomes." 07 (2025), -. doi:10.24911/ejmcr.9-2067